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Individual

FRANK E SHULL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MED LCPC

Contact information

Practice address
1630 23RD AVE, BLDG 301, LEWISTON, ID 83501
(208) 790-3083
(208) 798-7177
Mailing address
317 15TH AVE, LEWISTON, ID 83501
(208) 790-3083
(208) 798-7177

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH00004257
WA
101YP2500X
Professional Counselor
Primary
LCPC3102
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010147555
REGENCE BLUE SHIELD OF ID
ID
01
05191
BLUE CROSS OF ID
ID
Enumeration date
10/14/2005
Last updated
09/11/2025
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