MARINA J. ELLIS

POCATELLO, ID
NPI1528107158
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: ID  LCPC303)
Enumeration Date2007-02-06
Last Update Date2007-07-09
Business Address
-- MARINA J. ELLIS LCPC
427 N ARTHUR AVE STE B
POCATELLO, ID 83204-3006
Phone number: 208-637-0334
Mailing Address
-- MARINA J. ELLIS LCPC
PO BOX 5474
CHUBBUCK, ID 83202-0003
Phone number: 208-637-0334
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