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NPI Code Detail

MEDICARE: ELSA FRANCIS WILLIS

MEDICARE: ELSA FRANCIS WILLIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLCPC-8978ID
2101YM0800XMental Health CounselorMHC.LH.61365450WA

General Provider Information

NPI Number : 1548727118
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELSA FRANCIS WILLIS
Provider Business Mailing Address
First Line : 190 E FRONT ST APT 420
Second Line :
City : BOISE
State : ID
Zip : 83702-7316
Country : US
Telephone Number : 208-720-0469
Fax Number :
Provider Business Practice Location Address
First Line : 190 E FRONT ST APT 420
Second Line :
City : BOISE
State : ID
Zip : 83702-7316
Country : US
Telephone Number : 208-720-0469
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2019
Last Update Date : 06/08/2026

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Directions to “ ELSA FRANCIS WILLIS ” Practice Location

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