Individual
SHILOH AARON RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CRC
Contact information
Practice address
3501 W ELDER ST, BOISE, ID 83705-4986
(208) 286-1529
Mailing address
3501 W ELDER ST, BOISE, ID 83705-4986
(208) 286-1529
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9533
ID
Other
Enumeration date
06/23/2023
Last updated
10/21/2024
About Stedi
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