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1427837228
SHANELL WALLENTINE
MERIDIAN, ID
NPI
1427837228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: ID LPC-9724)
Enumeration Date
2023-09-21
Last Update Date
2023-09-21
Business Address
SHANELL WALLENTINE LPC
3061 S MERIDIAN RD STE 100
MERIDIAN, ID 83642-7962
Phone number: 208-620-5399
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Mailing Address
SHANELL WALLENTINE LPC
2886 S TAGISH WAY
MERIDIAN, ID 83642-9190
Phone number: 208-272-1563
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