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Shane Michael Duty, LPC
Professional Counselor in Meridian, Idaho
NPI 1295454544

Shane Michael Duty is a Professional Counselor based in Meridian, ID and is specialized in Professional. Shane Michael Duty practices in Meridian, ID and has the professional credentials of LPC. The NPI Number for Shane Michael Duty is 1295454544 and holds a License No. LPC-5998 (Idaho).

The current practice location address for Shane Michael Duty is 1225 W Bacall St, Meridian, ID and can be reached out via phone at 208-407-8014. You can also correspond with Shane Michael Duty through the mailing address at 1225 W BACALL ST, MERIDIAN, ID - 83646-6388 (mailing address contact number: 208-407-8014).

Location: 1225 W Bacall St, Meridian, ID, 83646-6388
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Provider Profile Details
NPI Number
1295454544
Provider Name
Shane Michael Duty
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1225 W Bacall St, Meridian, ID, 83646-6388
Phone Number
208-407-8014
Fax Number
Provider Enumeration Date
08/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1225 W Bacall St
City
State
Zip
83646-6388
Phone Number
208-407-8014
Fax Number
person
Provider Business Mailing Address Details
Address
1225 W Bacall St
City
State
Zip
83646-6388
Phone Number
208-407-8014
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-5998 (Idaho)
Definition
Definition to come...
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