person
Frank E Shull, MEDLCPC
Professional Counselor in Lewiston, Idaho
NPI 1336138106

Frank E Shull is a Professional Counselor based in Lewiston, ID and is specialized in Professional. Frank E Shull practices in Lewiston, ID and has the professional credentials of MEDLCPC. The NPI Number for Frank E Shull is 1336138106 and holds a License No. LH00004257 (Idaho).

The current practice location address for Frank E Shull is 1630 23Rd Ave, Lewiston, ID and can be reached out via phone at 208-790-3083 and via fax at 208-798-7177. You can also correspond with Frank E Shull through the mailing address at 317 15TH AVE, LEWISTON, ID - 83501 (mailing address contact number: 208-790-3083).

Location: 1630 23Rd Ave, Lewiston, ID, 83501
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Provider Profile Details
NPI Number
1336138106
Provider Name
Frank E Shull
Credential
MEDLCPC
Provider Entity Type
Individual
Gender
Male
Address
1630 23Rd Ave, Lewiston, ID, 83501
Phone Number
208-790-3083
Fax Number
208-798-7177
Provider Enumeration Date
10/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05191 01 ID BLUE CROSS OF ID
000010147555 01 ID REGENCE BLUE SHIELD OF ID
institution
Provider Business Practice Location Address Details
Address
1630 23Rd Ave
City
State
Zip
83501
Phone Number
208-790-3083
Fax Number
208-798-7177
person
Provider Business Mailing Address Details
Address
317 15Th Ave
City
State
Zip
83501
Phone Number
208-790-3083
Fax Number
208-798-7177
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCPC3102 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LH00004257 (Washington)
Definition
Definition to come...
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