Search › Idaho › 101YM0800X
Nathan Ellis, LCPC
NPI 1154609998 · on the registry since 2011
Practice
- Address
- 703 S Americana Blvd Ste 150
Boise, ID 83702 - Phone
- (208) 706-6375
- Fax
- (208) 706-6395
- Clinicians at this address
- 35
Additional practice sites
- 300 S 23rd St, Boise, ID
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YA0400X
101YM0800X
101Y00000X
101YP2500X
101YP2500X
102L00000X - Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-08
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