Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SHAWNA EDDY EDDY KISSELL, PSYCHOLOGIST, LCPC
Active Sole ProprietorMS. SHAWNA EDDY EDDY KISSELL, PSYCHOLOGIST, LCPC is a Mental Health Counselor healthcare provider located in WEISER, Idaho. NPI 1780209288 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · WEISER, ID
Registration Details
- NPI Number
- 1780209288
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2020 (6.1565816571635 yrs)
- Last Updated
- Jun 10, 2020
- Licenses
-
PS007800L (PA)5061 (OR)LCPC (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
541 W 3RD STWEISER, ID, 836721813Browse ID providers · Browse ZIP 83672
- Phone
- 2085490995
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Psychologist
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in WEISER, ID
| Name | Credential | NPI |
|---|---|---|
| MICHELLE LYNN GRENDAHL | LPC | 1134966047 |
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.