SearchIdaho101YM0800X

Shantal Laulu, LCPC, CADC

NPI 1538596226 · on the registry since 2013

Practice

Address
110 S 19th Ave
Pocatello, ID 83201
Phone
(208) 234-4722
Clinicians at this address
7

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-09-26

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