Individual
ELENA MARCHESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7285 W FRANKLIN RD, BOISE, ID 83709-0926
(208) 853-5095
Mailing address
4859 W ALDERSTONE ST, MERIDIAN, ID 83646-4904
(704) 307-8830
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-7999
ID
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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