Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE WEIDEMAN
ActiveSHANE WEIDEMAN is a Mental Health Counselor healthcare provider located in EMMETT, Idaho. NPI 1336697366 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · EMMETT, ID
Registration Details
- NPI Number
- 1336697366
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2016 (9.8579665370057 yrs)
- Last Updated
- Sep 19, 2016
- License
-
LPC-6270 (ID)
Practice Information
- Address
-
2007 E QUAIL RUN RDEMMETT, ID, 836175059Browse ID providers · Browse ZIP 83617
- Phone
- 2083655445
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in EMMETT, ID
| Name | Credential | NPI |
|---|---|---|
| REBECCA LYNNE HUDSON | MA,LPC | 1851730311 |
| DANIELLE DOMINIQUE LANGLEY | — | 1356800759 |
| TED ROBY BOST III | LPC | 1619728987 |
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.