Individual
CANDICE ELISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
1311 E CENTRAL DR, MERIDAIN, ID 83642
(208) 380-3921
Mailing address
895 S PHILLIPPI ST, BOISE, ID 83705-1987
(208) 380-3921
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-6251
ID
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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