Booth, Elisha Dawn
Booth, Elisha Dawn is an sole proprietor health care provider with primary practice located at 1755 N Westgate Dr Ste 280 , Boise ID 83704-7176. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Booth, Elisha Dawn can be contacted via phone (208) 724-9524.Contact Information
Primary practice address
1755 N Westgate Dr Ste 280
Boise ID 83704-7176
Phone: (208) 724-9524
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC-6631 | Idaho |
Profile Details
| NPI number | 1164946240 |
|---|---|
| LBN Legal business name | Booth, Elisha Dawn |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2017 |
| Last updated | Jun 12th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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