| NPI | 1447028766 |
|---|---|
| Doing Business As | SHELLY VEGWERT |
| Doing Business As | SHELLY VEGWERT, MS, LCPC |
| Entity Type | Organization |
| Authorized Contact | SHELLY VEGWERT Sec/Treas 208-481-2611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |