Angela Lynn Ellis

NPI #1114806262 in Meridian, Idaho

Provider Information

NPI Number: 1114806262
Entity Type: Individual
Name: Angela Lynn Ellis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Sep 1, 2025
Last Updated: Sep 1, 2025

Practice Location

Address: 1548 W CAYUSE CREEK DR STE 100
City: Meridian
State: Idaho
ZIP Code: 83646-4795
Phone: (208) 600-2072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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