Individual provider · Type 1 NPI
Marina J. Ellis, LCPC
Professional Counselor · Pocatello, ID
NPI number
1528107158
Active
Practice location
427 N Arthur Ave Ste B
Pocatello, ID 83204-3006
Fax (208) 237-9670
Mailing address
PO Box 5474
Chubbuck, ID 83202-0003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LCPC303 (ID) |
Professional Counselor: Definition to come...
3 other providers at this address
- Cedar Health CenterChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Pocatello, ID NPI 1184764755
- Portneuf River CenterChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Pocatello, ID NPI 1518006113
- Kathleen Werner-Leap, CNS, NPPPsychiatric/Mental Health Nurse Practitioner Pocatello, ID NPI 1851447585
Other professional counselor providers in Pocatello
- Kraig Boyd, LPCProfessional Counselor Pocatello, ID NPI 1043604408
- Michele Joann Osmond, LCPCProfessional Counselor Pocatello, ID NPI 1053773952
- Melanie Renee MooreProfessional Counselor Pocatello, ID NPI 1063360758
- Jo Anna Shotiveyaratana, MA, LPCProfessional Counselor Pocatello, ID NPI 1104424191
- Robert Andrew De Wall, LCPCProfessional Counselor Pocatello, ID NPI 1114228384
- David Bills, LPC, NCCProfessional Counselor Pocatello, ID NPI 1154696748
- Kayla J. Gibbons, LPCProfessional Counselor Pocatello, ID NPI 1164104949
- Kimberly Jo Andrew, LCPCProfessional Counselor Pocatello, ID NPI 1164780706
About NPI 1528107158
Marina J. Ellis, LCPC's National Provider Identifier is 1528107158, issued on Feb 6, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pocatello, ID. The record was last updated on Jul 9, 2007.