Mrs Elizabeth Ashlea Daffern, MS | |
1993 E 8th N, Mountain Home, ID 83647-2326 | |
(208) 587-7626 | |
Not Available |
Full Name | Mrs Elizabeth Ashlea Daffern |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1993 E 8th N, Mountain Home, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861256422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC-10230 (Idaho) | Primary |
Entity Name | All Horizons Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285767574 PECOS PAC ID: 0345377958 Enrollment ID: O20100429000652 |
Entity Name | Rise Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720049190 PECOS PAC ID: 2365593795 Enrollment ID: O20230519001565 |
Mailing Address | Practice Location Address |
---|---|
Mrs Elizabeth Ashlea Daffern, MS 685 Brookside Ct, Mountain Home, ID 83647-3305 Ph: (208) 358-5308 | Mrs Elizabeth Ashlea Daffern, MS 1993 E 8th N, Mountain Home, ID 83647-2326 Ph: (208) 587-7626 |
Melinda Carpenter, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 120 Desert Sage Way, Mountain Home, ID 83647 Phone: 208-587-3988 Fax: 208-587-3324 | |
Jonathan A Price, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 American Legion Blvd, Mountain Home, ID 83647 Phone: 208-580-5431 Fax: 208-906-8525 | |
Frank Monasterio, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2280 American Legion Blvd, Mountain Home, ID 83647 Phone: 208-587-3988 | |
Talmage W Delange, M.ED, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 North 3rd East, Mountain Home, ID 83647 Phone: 208-724-8120 Fax: 208-587-2992 | |
Elizabeth Taylor, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 E 2nd N, Mountain Home, ID 83647 Phone: 208-587-8095 Fax: 208-587-8025 | |
Justin Robert Humber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 American Legion Blvd, Mountain Home, ID 83647 Phone: 208-580-5431 | |
Alexandra Yewcic, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 American Legion Blvd, Mountain Home, ID 83647 Phone: 208-580-5431 |