Search › Idaho › 101YP2500X
Bonita Frazier-Shewmaker, LCPC, LMFT, NCC
NPI 1043652365 · on the registry since 2013 · sole proprietor
Practice
- Address
- 512 6th St
Rupert, ID 83350 - Phone
- (208) 436-4911
- Fax
- (208) 436-1758
- Organisation at this address
- Progressive Behavior Systems Pa
Progressive Behavior Systems Pa
Progressive Behavior Systems Pa
Progressive Behavior Systems, PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 106H00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-07-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho