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SHANE WEIDEMAN
Mental Health Counselor
NPI: 1336697366IndividualAccepts Medicare
Specialties, Licenses & Credentials
Mental Health CounselorPrimary
Counselor — Mental Health
Code: 101YM0800X
LPC-6270(ID)
Education
OTHER
Class of 2016
Contact & Hours
- Address
- 2007 E QUAIL RUN RD, SUITE 1
EMMETT, ID 83617 - Phone
- (208) 365-5445
Quick Facts
- NPI
- 1336697366
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 10
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