Individual provider · Type 1 NPI
Elizabeth Mathes
Professional Counselor · Coeur D Alene, ID
NPI number
1215055868
Active
Practice location
118 N 7th St Ste C4
Coeur D Alene, ID 83814-2736
Mailing address
1006 E Lakeside Ave
Coeur D Alene, ID 83814-4137
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LCPC 200 (ID) |
Professional Counselor: Definition to come...
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About NPI 1215055868
Elizabeth Mathes's National Provider Identifier is 1215055868, issued on Mar 26, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 9, 2007.