Individual provider · Type 1 NPI

Elizabeth Anne Videen, LPC

Mental Health Counselor · Boise, ID

NPI number 1295475770 Active

Practice location

11407 W Reutzel Dr
Boise, ID 83709-4404

Call (208) 555-7803 Map

Mailing address

218 W Yosemite St
Meridian, ID 83646-6832

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X11470 (ID)
Mental Health Counselor Primary 101YM0800XLPC-7451 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1295475770

Elizabeth Anne Videen, LPC's National Provider Identifier is 1295475770, issued on Mar 31, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Mar 31, 2022.