Individual
MARINA J. ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
427 N ARTHUR AVE STE B, POCATELLO, ID 83204-3006
(208) 637-0334
(208) 237-9670
Mailing address
PO BOX 5474, CHUBBUCK, ID 83202-0003
(208) 637-0334
(208) 237-9670
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC303
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q3717
BLUE CROSS
ID
Enumeration date
02/06/2007
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us