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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL SHANE OLDFIELD I, LMSW

Active Sole Proprietor

MR. MICHAEL SHANE OLDFIELD I, LMSW is a Mental Health Counselor healthcare provider located in IDAHO FALLS, Idaho. NPI 1174756290 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · IDAHO FALLS, ID

Registration Details

NPI Number
1174756290
Provider Type
Individual
Gender
Male
NPI Issued
Aug 24, 2009 (16.95022516573 yrs)
Last Updated
Aug 24, 2009
License
29470 (ID)
Sole Proprietor
Yes

Practice Information

Address
2420 E 25TH ST
IDAHO FALLS, ID, 834047549
Browse ID providers · Browse ZIP 83404
Phone
2085421026
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in IDAHO FALLS, ID

Name Credential NPI
JILL REID WEADICK LCPC 1740255264
MRS. KATHLENE FAY PARSONS LCPC, NCC 1457365504
MS. JENNIFER DEE KERNER LCPC 1144315722
MRS. KIRA C LANE LPC3502 1275613556
CASEY PUZEY LCPC 1902977929
DR. JANET O. ALLEN ED.D, LCPC 1457413205
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.