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1447658828
SHANE ALAN THOMASON
MERIDIAN, ID
NPI
1447658828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: ID LPC-5755)
Enumeration Date
2014-12-16
Last Update Date
2024-08-19
Business Address
SHANE ALAN THOMASON LCPC
2596 N STOKESBERRY PL
MERIDIAN, ID 83646-6114
Phone number: 208-918-1636
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Mailing Address
SHANE ALAN THOMASON LCPC
5434 N ISLA AVE
MERIDIAN, ID 83646-5852
Phone number: 208-405-9165
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