SHANE WEIDEMAN
Mental Health at Quail Run Rd, Emmett, ID

License number
Idaho LPC-6270
Category
Mental Health
Type
Mental Health
Address
Address 2
2007 E Quail Run Rd, Emmett, ID 83617
2305 Valley View Dr, Jonathan, ID 83672
Phone
(208) 365-5445
(208) 540-0226
National Provider ID: 1336697366
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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