SHANE WEIDEMAN
Counselor - Mental Health
Active
Individual
NPI: 1336697366
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Mental Health | 101YM0800X | Yes | LPC-6270 (ID) |
Frequently Asked Questions
NPI 1336697366 is the National Provider Identifier for SHANE WEIDEMAN, a Counselor - Mental Health provider located in Emmett, ID. This NPI was enumerated on September 19, 2016.
SHANE WEIDEMAN practices at 2007 E QUAIL RUN RD, Emmett, ID 83617.
Quick Facts
- NPI
- 1336697366
- Type
- Individual
- Enumerated
- Sep 19, 2016
- Last Updated
- Sep 19, 2016
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