Individual
MS. SHANNON L TRAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
750 WARM SPRINGS AVE STE D, BOISE, ID 83712-6457
(208) 871-7693
Mailing address
750 WARM SPRINGS AVE STE D, BOISE, ID 83712-6457
(208) 871-7693
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC3935
ID
Other
Enumeration date
01/21/2008
Last updated
01/07/2011
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