Individual
ANNA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
109 N ARTHUR AVE, #203, POCATELLO, ID 83204-3105
(781) 307-7776
Mailing address
344 N 15TH AVE, APT 8E, POCATELLO, ID 83201-4023
(781) 307-7776
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-3098
ID
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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