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Individual

DANIEL CHARLES SHUMWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3155 W BELLTOWER DR STE 200, MERIDIAN, ID 83646-4882
(208) 615-2157
Mailing address
72 N PLEASANT HILL DR, NAMPA, ID 83651-5025
(208) 615-2157

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-10658
ID

Other

Enumeration date
05/27/2024
Last updated
12/01/2025
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