Individual provider · Type 1 NPI

Michael Shane Oldfield I, LMSW

Mental Health Counselor · Idaho Falls, ID

NPI number 1174756290 Active

Practice location

2420 E 25th St
Idaho Falls, ID 83404-7549

Call (208) 542-1026 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X29470 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1174756290

Michael Shane Oldfield I, LMSW's National Provider Identifier is 1174756290, issued on Aug 24, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Idaho Falls, ID. The record was last updated on Aug 24, 2009.