Individual
SHAUNA JULIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2011 S RIDGE POINT WAY, BOISE, ID 83712-8516
(208) 336-3607
Mailing address
2011 S RIDGE POINT WAY, BOISE, ID 83712-8516
(208) 336-3607
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-369
ID
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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