Individual
ELLON CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
420 S CUTLER AVE, SUGAR CITY, ID 83448-1142
(208) 351-6580
Mailing address
420 S CUTLER AVE, SUGAR CITY, ID 83448-1142
(208) 351-6580
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2571394
ID
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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