Individual provider · Type 1 NPI
Shannon L. Traver, LCPC
Professional Counselor · Boise, ID
NPI number
1922284900
Active
Practice location
750 Warm Springs Ave Ste D
Boise, ID 83712-6457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LCPC3935 (ID) |
Professional Counselor: Definition to come...
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About NPI 1922284900
Shannon L. Traver, LCPC's National Provider Identifier is 1922284900, issued on Jan 21, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Jan 7, 2011.