Alisa Ellis, LCPC

NPI 1881879039 · on the registry since 2008

Practice

Address: 2001 S Woodruff Ave
Suite 6
Idaho Falls, ID 83404
Phone: (208) 529-4673
Fax: (208) 529-4676
Organisation at this address: Club, Inc.
Ascend Llc
Michele Osmond
Suzanne Godfrey
Neurofeedback Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 48

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-01-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho