Individual
SHANNON STEVENS-COMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 W FRANKLIN ST, BOISE, ID 83702-5023
(208) 850-9878
Mailing address
7190 BARON AVE, BOISE, ID 83714-2408
(208) 258-4961
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1098005
ID
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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