Individual
SHAHNA G PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
317 W 6TH ST, MOSCOW, ID 83843-2321
(208) 882-3504
Mailing address
317 W 6TH ST STE 208, MOSCOW, ID 83843-2387
(208) 882-3504
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
COUI-7631
ID
Other
Enumeration date
03/26/2020
Last updated
11/27/2023
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