MR. SHANE CLUBB, M.A., L.C.P.C.

Counselor - Mental Health

Active Individual
NPI: 1871554584

Practice Address

39 E STATE AVE
Meridian, ID 83642

Phone: (208) 994-3599

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes LCPC-3989 (ID)

Frequently Asked Questions

NPI 1871554584 is the National Provider Identifier for MR. SHANE CLUBB, M.A., L.C.P.C., a Counselor - Mental Health provider located in Meridian, ID. This NPI was enumerated on March 31, 2006.
MR. SHANE CLUBB, M.A., L.C.P.C. practices at 39 E STATE AVE, Meridian, ID 83642.

Quick Facts

NPI
1871554584
Type
Individual
Enumerated
Mar 31, 2006
Last Updated
Dec 10, 2012

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