Individual
SHANA GALBRAITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1970 E 17TH ST STE 208, IDAHO FALLS, ID 83404-8048
(208) 932-0668
Mailing address
1970 E 17TH ST STE 208, IDAHO FALLS, ID 83404-8048
(208) 932-0668
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-7508
ID
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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