Individual
PAULA SHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
519 ANNE ST NW STE B, BEMIDJI, MN 56601-4278
(218) 444-2845
Mailing address
PO BOX 430, BEMIDJI, MN 56619-0430
(218) 444-2845
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC04676
MN
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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