Elise M Staab, LCPC, LMHC

NPI #1689200453 in Clarkston, Washington

Provider Information

NPI Number: 1689200453
Entity Type: Individual
Name: Elise M Staab, LCPC, LMHC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LCPC, LMHC
Enumeration Date: Mar 12, 2020
Last Updated: May 18, 2021

Practice Location

Address: 827 6TH ST
City: Clarkston
State: Washington
ZIP Code: 99403-2002
Phone: (208) 717-2288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor	101Y00000X	Primary

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