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Individual

JOE ALAN SHABER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
320 11TH AVE S STE 204, NAMPA, ID 83651-5074
(208) 724-3594
Mailing address
83 S CANYON, NAMPA, ID 83651

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LCPC-5196
ID
101YM0800X
Mental Health Counselor
Primary
LCPC-5196
ID

Other

Enumeration date
03/10/2011
Last updated
11/27/2023
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