Individual
SHADELL PADMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1324 E SHERMAN AVE, COEUR D ALENE, ID 83814-4042
(646) 838-1458
Mailing address
8084 N CROWN POINTE ST # G202, POST FALLS, ID 83854-4839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
04/29/2025
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