Individual provider · Type 1 NPI
Shane M. Clubb, M.A., L.C.P.C.
Mental Health Counselor · Meridian, ID
NPI number
1871554584
Active
Practice location
39 E State Ave
Meridian, ID 83642-2342
Fax (208) 473-2206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LCPC-3989 (ID) |
Mental Health Counselor: Definition to come...
6 other providers at this address
- Lisa Deluca Counseling, PLLCCommunity/Behavioral Health Agency Meridian, ID NPI 1275480469
- State Avenue OfficesAdult Mental Health Clinic/Center Meridian, ID NPI 1821344367
- Weightless Minds Counseling, LLCMental Health Clinic/Center (Including Community Mental Health Center) Meridian, ID NPI 1801748223
- Kristina Larae Palmer, LCPC CEDSMental Health Counselor Meridian, ID NPI 1447423462
- Ray Allen Ward, LCPCProfessional Counselor Meridian, ID NPI 1609275825
- Stacey Denise Seitz, LPC, NCCMental Health Counselor Meridian, ID NPI 1568969640
Other mental health counselor providers in Meridian
- Tami Marie MorganMental Health Counselor Meridian, ID NPI 1013447994
- Shelby Martini, LPC, NCCMental Health Counselor Meridian, ID NPI 1013655893
- Ciara ChesnutMental Health Counselor Meridian, ID NPI 1023535630
- Aimee Elizabeth Johnson, LPCMental Health Counselor Meridian, ID NPI 1023741253
- Aimee Christensen, LCPCMental Health Counselor Meridian, ID NPI 1023743713
- Shontae ConeMental Health Counselor Meridian, ID NPI 1033686217
- Ryan Kent Forrest, MS, LPCMental Health Counselor Meridian, ID NPI 1043164023
- Kyra Madeline Armstrong, LPCMental Health Counselor Meridian, ID NPI 1043887219
About NPI 1871554584
Shane M. Clubb, M.A., L.C.P.C.'s National Provider Identifier is 1871554584, issued on Mar 31, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Meridian, ID. The record was last updated on Dec 10, 2012.