Individual
MR. SHAWN A MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
711 LONE STAR RD, NAMPA, ID 83651-2493
(208) 249-2147
Mailing address
3436 S WOOD RIVER AVE, NAMPA, ID 83686-5162
(208) 249-2147
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-5697
ID
Other
Enumeration date
06/03/2012
Last updated
07/03/2023
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