SearchIdaho101YP2500X

Shane Duty, LPC

NPI 1295454544 · on the registry since 2022

Practice

Address
1225 W Bacall St
Meridian, ID 83646
Phone
(208) 407-8014

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-22

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