SHANNON STEVENS-COMMERS

BOISE, ID
NPI1235520099
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  1098005)
Enumeration Date2015-02-13
Last Update Date2015-02-13
Business Address
-- SHANNON STEVENS-COMMERS
1414 W FRANKLIN ST
BOISE, ID 83702-5023
Phone number: 208-850-9878
Mailing Address
-- SHANNON STEVENS-COMMERS
7190 BARON AVE
BOISE, ID 83714-2408
Phone number: 208-258-4961