Staab, Elise M

Staab, Elise M is an sole proprietor health care provider with primary practice located at 827 6Th St , Clarkston WA 99403-2002. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Staab, Elise M can be contacted via phone (208) 717-2288.

Contact Information

Primary practice address
827 6Th St Clarkston WA 99403-2002
Phone: (208) 717-2288
Fax: (208) 980-7055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-7627 Idaho
Behavioral Health & Social Service Providers / Counselor 101Y00000X LCPC-8108 Idaho

Profile Details

NPI number 1689200453
LBN Legal business name Staab, Elise M
Credentials LCPC, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2020
Last updated May 18th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689200453 NPPES
Washington Other LH61120561 LMHC
Washington Other LCPC-8108 LMHC

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