Individual provider · Type 1 NPI

Taylor L. Red Elk, LCPC

Professional Counselor · Idaho Falls, ID

NPI number 1578115754 Active

Practice location

2275 W Broadway St Ste G
Idaho Falls, ID 83402-2902

Call (208) 524-7400 Map

Mailing address

2275 W Broadway St., Suite G
Idaho Falls, ID 83402

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLCPC-8325 (ID)

Professional Counselor: Definition to come...

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About NPI 1578115754

Taylor L. Red Elk, LCPC's National Provider Identifier is 1578115754, issued on Jul 9, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 7, 2022.