Individual
ELISA NAOMI PAVLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3061 S MERIDIAN RD STE 100, MERIDIAN, ID 83642-7962
(208) 620-5399
(208) 576-6915
Mailing address
1914 E TRAIL BLAZER DR, MERIDIAN, ID 83646-5864
(208) 559-8528
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-8954
ID
Other
Enumeration date
07/14/2022
Last updated
07/15/2022
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