Individual
SHANDRAY SURMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC, COUNSELOR INTER
Contact information
Practice address
211 E. COEUR D'ALENE AVE, COEUR D'ALENE, ID 83814
(208) 717-1239
(208) 620-2306
Mailing address
211 E. COEUR D'ALENE AVE, COEUR D'ALENE, ID 83814
(208) 717-1239
(208) 620-2306
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
9961975
ID
225C00000X
Rehabilitation Counselor
Primary
323964
ID
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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