Individual
SHELLEY S CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1224 1ST ST S, STE 103, NAMPA, ID 83687-3900
(208) 463-2314
(208) 463-4390
Mailing address
PO BOX 9, 211 16TH AVE N, NAMPA, ID 83653-0009
(208) 467-4431
(208) 467-7684
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC3262
ID
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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