Individual
DORI A SHANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6684 S LIVEOAK PL, BOISE, ID 83716-5047
(208) 409-4961
Mailing address
6684 S LIVEOAK PL, BOISE, ID 83716-5047
(208) 409-4961
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
02/17/2022
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