SHANE ALAN THOMASON

MERIDIAN, ID
NPI1447658828
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LPC-5755)
Enumeration Date2014-12-16
Last Update Date2021-12-09
Business Address
SHANE ALAN THOMASON LCPC
2596 N STOKESBERRY PL
MERIDIAN, ID 83646-6114
Phone number: 208-918-1636
Mailing Address
SHANE ALAN THOMASON LCPC
5434 N ISLA AVE
MERIDIAN, ID 83646-5852
Phone number: 208-405-9165
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