Individual
SHAYNE M. AGUIRRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC, QSUDP
Contact information
Practice address
618 W COLLEGE AVE, SAINT MARIES, ID 83861-5010
(208) 680-9042
(877) 471-2556
Mailing address
PO BOX 266, FERNWOOD, ID 83830-0266
(208) 568-1398
(877) 471-2556
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC-4990
ID
101YM0800X
Mental Health Counselor
Primary
LPC-4990
ID
101YP2500X
Professional Counselor
LPC-4990
ID
Other
Enumeration date
11/15/2012
Last updated
02/05/2026
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