person
Shane Weideman
Mental Health Counselor in Emmett, Idaho
NPI 1336697366

Shane Weideman is a Mental Health Counselor based in Weiser, ID and is specialized in Mental Health. Shane Weideman practices in Emmett, ID. The NPI Number for Shane Weideman is 1336697366 and holds a License No. LPC-6270 (Idaho).

The current practice location address for Shane Weideman is 2007 E Quail Run Rd, Emmett, ID and can be reached out via phone at 208-365-5445. You can also correspond with Shane Weideman through the mailing address at 2305 VALLEY VIEW DR, WEISER, ID - 83672-1245 (mailing address contact number: 208-540-0226).

Location: 2007 E Quail Run Rd, Emmett, ID, 83672-1245
person
Provider Profile Details
NPI Number
1336697366
Provider Name
Shane Weideman
Credential
Provider Entity Type
Individual
Gender
Male
Address
2007 E Quail Run Rd, Emmett, ID, 83672-1245
Phone Number
208-365-5445
Fax Number
Provider Enumeration Date
09/19/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2007 E Quail Run Rd
City
State
Zip
83617-5059
Phone Number
208-365-5445
Fax Number
person
Provider Business Mailing Address Details
Address
2007 E Quail Run Rd
City
State
Zip
83617-5059
Phone Number
208-365-5445
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC-6270 (Idaho)
Definition
Definition to come...
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