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Individual

DR. EMMA MARIE SUNSHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LPC

Contact information

Practice address
1560 S CAROL ST, MERIDIAN, ID 83646-1839
(208) 994-5343
Mailing address
1560 S CAROL ST, MERIDIAN, ID 83646-1839
(208) 994-5343

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
03955
OK
101YM0800X
Mental Health Counselor
11743380-6004
UT
101YM0800X
Mental Health Counselor
2629
KS
101YM0800X
Mental Health Counselor
37PC00927400
NJ
101YM0800X
Mental Health Counselor
Primary
9059
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06010014900
QUALCHOICE PROVIDER #
AR
05
158951719
AR
05
200387180A
OK
01
5Y679
BLUE CROSS PROVIDER #
AR
01
9421291
PHCS PROVIDER #
AR
Enumeration date
07/27/2006
Last updated
08/23/2024
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