ANGELA LYNN ELLIS
Individual Provider (NPI-1)
Active
Counselor
Provider Information
- NPI Number
1114806262- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1548 W CAYUSE CREEK DR STE 100, MERIDIAN, ID, 836464795
- Phone
- (208) 600-2072
Specialties & Taxonomies
Counselor
Primary