Individual
SHELBY HOPE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
645 W CLARK ST, POCATELLO, ID 83204-3141
(208) 234-9361
Mailing address
645 W CLARK ST, POCATELLO, ID 83204-3141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW44032
ID
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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