ALISA ELLIS

IDAHO FALLS, ID
NPI1881879039
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: ID  LCPC-3497)
Enumeration Date2008-01-07
Last Update Date2008-01-07
Business Address
-- ALISA ELLIS LCPC
2001 S WOODRUFF AVE SUITE 6
IDAHO FALLS, ID 83404-6374
Phone number: 208-529-4673
Mailing Address
-- ALISA ELLIS LCPC
2001 S WOODRUFF AVE SUITE 6
IDAHO FALLS, ID 83404-6374
Phone number: 208-529-4673
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