| Kristen Shearer Llc | |
|
410 S Orchard St Ste 160 Boise ID 83705-1295 | |
| (208) 352-6018 | |
| Not Available |
| Full Name | Kristen Shearer Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 410 S Orchard St Ste 160, Boise, Idaho |
| Authorized Official Name and Position | Kristen Shearer (OWNER/MANAGER) |
| Authorized Official Contact | 2088309027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Shearer Llc 1204 N 13th St Boise ID 83702-4115 Ph: (208) 830-9027 | Kristen Shearer Llc 410 S Orchard St Ste 160 Boise ID 83705-1295 Ph: (208) 352-6018 |
| NPI Number | 1669249041 |
|---|---|
| Provider Enumeration Date | 12/06/2023 |
| Last Update Date | 12/27/2023 |
| Certification Date | 12/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669249041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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