Individual
MS. TANYA LEE EBBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
250 S MAIN ST, PAYETTE, ID 83661-2853
(208) 405-0020
(208) 739-4425
Mailing address
633 WHITING AVE, WEISER, ID 83672-1519
(208) 577-8030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW31594
ID
104100000X
Social Worker
LCSW-44070
ID
Other
Enumeration date
09/16/2020
Last updated
02/03/2025
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