person
Shanell Wallentine, LPC
Professional Counselor in Meridian, Idaho
NPI 1427837228

Shanell Wallentine is a Professional Counselor based in Meridian, ID and is specialized in Professional. Shanell Wallentine practices in Meridian, ID and has the professional credentials of LPC. The NPI Number for Shanell Wallentine is 1427837228 and holds a License No. LPC-9724 (Idaho).

The current practice location address for Shanell Wallentine is 3061 S Meridian Rd Ste 100, Meridian, ID and can be reached out via phone at 208-620-5399 and via fax at 208-576-6915.

Location: 3061 S Meridian Rd Ste 100, Meridian, ID, 83642-9190
person
Provider Profile Details
NPI Number
1427837228
Provider Name
Shanell Wallentine
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3061 S Meridian Rd Ste 100, Meridian, ID, 83642-9190
Phone Number
208-620-5399
Fax Number
208-576-6915
Provider Enumeration Date
09/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3061 S Meridian Rd Ste 100
City
State
Zip
83642-7962
Phone Number
208-620-5399
Fax Number
208-576-6915
person
Provider Business Mailing Address Details
Address
3061 S Meridian Rd Ste 100
City
State
Zip
83642-7962
Phone Number
208-620-5399
Fax Number
208-576-6915
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-9724 (Idaho)
Definition
Definition to come...
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