Individual
MS. KRISTI LYNN SHOHET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
612 S BRENTBROOK LN, EAGLE, ID 83616-4899
(208) 939-5553
(208) 288-5779
Mailing address
612 S BRENTBROOK LN, EAGLE, ID 83616-4899
(208) 939-5553
(208) 288-5779
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC4172
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010148813
REGENCE BLUE SHIELD
ID
05
—
806968300
—
ID
01
—
8N639
BLUE CROSS OF IDAHO
ID
Enumeration date
04/12/2007
Last updated
03/22/2024
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