Shane Weideman
Counselor, Mental Health in Emmett, ID. Individual provider (NPI-1).
NPI number1336697366
StatusActive
Last updated in NPPESSep 19, 2016
Details
- NPI
- 1336697366
- Entity type
- Individual (NPI-1)
- Name
- Shane Weideman
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2016
- Last updated
- Sep 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LPC-6270 | ID | Yes |
Practice location
2007 E Quail Run RdEmmett, ID 83617-5059
Phone 208-365-5445
Mailing address
2305 Valley View DrWeiser, ID 83672-1245
Phone 208-540-0226
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Other Mental Health Counselor providers in Emmett, ID
- Family Services TreatmentNPI 1083981146
- Rebecca Lynne Hudson, MA,LPCNPI 1851730311
- Danielle Dominique LangleyNPI 1356800759
- Trinity Counseling MinistriesNPI 1285319509
All 5 Mental Health Counselor providers in Emmett · All 250 providers in Emmett
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