Individual
MS. TRINA G ELSASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCOUN, LCPC, NCC
Contact information
Practice address
3711 W KIPLING RD, BOISE, ID 83706
(208) 314-2923
Mailing address
3711 W KIPLING RD, BOISE, ID 83706
(208) 880-3032
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-4343
ID
101YM0800X
Mental Health Counselor
Primary
LCPC-5569
ID
Other
Enumeration date
03/28/2011
Last updated
10/04/2022
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