Individual provider · Type 1 NPI
Madeline Ellis, LPC
Mental Health Counselor · Boise, ID
NPI number
1710611538
Active
Practice location
7684 S Cole Rd
Boise, ID 83709-7229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC-8891 (ID) |
| Mental Health Counselor | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1710611538
Madeline Ellis, LPC's National Provider Identifier is 1710611538, issued on Jul 16, 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 Nov 27, 2023.