Individual
SHIRLEY O'NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
1517 W JEFFERSON ST, BOISE, ID 83702-5218
(208) 385-0888
Mailing address
1517 W JEFFERSON ST, BOISE, ID 83702-5218
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-4607
ID
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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