Elisheva Syvia Soto

NPI #1104595354 in Pocatello, Idaho

Provider Information

NPI Number: 1104595354
Entity Type: Individual
Name: Elisheva Syvia Soto
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 10, 2021
Last Updated: Sep 10, 2021

Practice Location

Address: 151 N 3RD AVE STE 400
City: Pocatello
State: Idaho
ZIP Code: 83201-6331
Phone: (208) 840-1992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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