Individual provider · Type 1 NPI
Nadamayi Shanti, LPC
Mental Health Counselor · Boise, ID
NPI number
1790454478
Active
Practice location
1498 E Holly St
Boise, ID 83712-8309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 8300 (ID) |
Mental Health Counselor: Definition to come...
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About NPI 1790454478
Nadamayi Shanti, LPC's National Provider Identifier is 1790454478, issued on Sep 7, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Sep 7, 2021.