Organization
PERSPECTIVES COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE CLUBB (OWNER)
(208) 515-0584
Entity
Organization
Contact information
Practice address
4948 W KOOTENAI ST STE 207, BOISE, ID 83705-2082
(208) 515-0584
Mailing address
4948 W KOOTENAI ST STE 207, BOISE, ID 83705-2082
(208) 515-0584
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-3989
ID
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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