Individual
SHAYNA KEARN NORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, CADC
Contact information
Practice address
288 N SHILLING AVE, BLACKFOOT, ID 83221-2332
(208) 785-1047
Mailing address
131 N 200 E, BLACKFOOT, ID 83221-5959
(208) 716-1549
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11816
ID
101YM0800X
Mental Health Counselor
Primary
LMFT-7650
ID
101YP2500X
Professional Counselor
LMFT-7650
ID
106H00000X
Marriage & Family Therapist
LMFT-7650
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LMFT-304
—
WY
Enumeration date
02/06/2021
Last updated
02/12/2024
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