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Individual

SHELBY MARTINI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, NCC

Contact information

Practice address
750 W USTICK RD STE 120, MERIDIAN, ID 83646-6133
(208) 506-0520
Mailing address
750 W USTICK RD STE 120, MERIDIAN, ID 83646-6133
(208) 506-0520

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8696
ID

Other

Enumeration date
05/23/2022
Last updated
03/12/2024
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