Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANE M CLUBB, M.A., L.C.P.C.
ActiveMR. SHANE M CLUBB, M.A., L.C.P.C. is a Mental Health Counselor healthcare provider located in MERIDIAN, Idaho. NPI 1871554584 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · MERIDIAN, ID
Registration Details
- NPI Number
- 1871554584
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2006 (20.188854100303 yrs)
- Last Updated
- Dec 10, 2012
- License
-
LCPC-3989 (ID)
Practice Information
- Address
-
39 E STATE AVEMERIDIAN, ID, 836422342Browse ID providers · Browse ZIP 83642
- Phone
- 2089943599
- Fax
- 2084732206
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in MERIDIAN, ID
| Name | Credential | NPI |
|---|---|---|
| DR. EMMA MARIE SUNSHAW | PHD, LPC | 1104840438 |
| MRS. JENNIFER MICHELLE BROWNING | MS, LPC | 1770693616 |
| MS. CYNTHIA MARIE ANDREWS | LCPC | 1356445688 |
| STACY LYNN CARD | LMHC, LCPC | 1114011855 |
| LYNNEE CHANTEL ROGERS | M.S., LCPC | 1972692804 |
| WENDY I COFFMAN | LCSW | 1568539971 |
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.