Individual
DR. SHAWN PETER PARMANAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1440 E TERRY ST, BLDG 63, POCATELLO, ID 83209-8120
(208) 960-0452
(208) 282-2583
Mailing address
1440 E TERRY ST, BLDG 63, POCATELLO, ID 83209-8120
(208) 960-0452
(208) 282-2583
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC3941
ID
101YP2500X
Professional Counselor
Primary
LCPC-6743
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC-3914
STATE OF IDAHO
ID
Enumeration date
01/07/2014
Last updated
07/02/2021
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