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Search › Idaho › 1041C0700X

Shandra Blacker, LMSW

NPI 1063892750 · on the registry since 2015

Practice

Address
2275 W Broadway St Ste G
Idaho Falls, ID 83402
Phone
(208) 524-7400
Organisation at this address
Tueller Counseling
Unified Healthcare Of Idaho Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
35

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-06-08

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