location
search-icon
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.

Location: 2007 E Quail Run Rd, Emmett, ID, 83672-1245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Emmett
State
Idaho
Zip
83617-5059
Phone Number
208-365-5445
Fax Number
person
Provider Business Mailing Address Details
Address
2007 E Quail Run Rd
City
Emmett
State
Idaho
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
101YM0800X
License No.
LPC-6270 (Idaho)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.