Individual
ANNALIESE ELIZABETH PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3700 W SELTICE WAY, COEUR D ALENE, ID 83814-8921
(208) 620-5255
(844) 807-3782
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(844) 807-3782
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
ID
1041C0700X
Clinical Social Worker
Primary
LMSW-43290
ID
Other
Enumeration date
11/15/2018
Last updated
03/04/2025
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