Individual provider · Type 1 NPI
Shane Weideman
Mental Health Counselor · Emmett, ID
NPI number
1336697366
Active
Practice location
2007 E Quail Run Rd
Emmett, ID 83617-5059
Mailing address
2305 Valley View Dr
Weiser, ID 83672-1245
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC-6270 (ID) |
Mental Health Counselor: Definition to come...
4 other providers at this address
- Emmett Counseling and Psychiatric Services, LLCCommunity/Behavioral Health Agency Emmett, ID NPI 1275932220
- Emmett Counseling and Psychiatric Services, LLCCommunity/Behavioral Health Agency Emmett, ID NPI 1992007249
- Emmett Family Services, LLCClinical Social Worker Emmett, ID NPI 1225107923
- Mandy Lynn Mitchell Hopwood, LCSWClinical Social Worker Emmett, ID NPI 1518394006
Other mental health counselor providers in Emmett
About NPI 1336697366
Shane Weideman's National Provider Identifier is 1336697366, issued on Sep 19, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Emmett, ID. The record was last updated on Sep 19, 2016.