SHELLY MARIE OSBORNE

TWIN FALLS, ID
NPI1841855798
Former NameSHELLY MARIE LEWIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCPC-5757)
Enumeration Date2019-05-07
Last Update Date2019-05-07
Business Address
SHELLY MARIE OSBORNE LCPC
112 SHOSHONE ST E STE 2
TWIN FALLS, ID 83301-6185
Phone number: 208-860-8203
Mailing Address
SHELLY MARIE OSBORNE LCPC
647 POLE LINE RD
TWIN FALLS, ID 83301-4083
Phone number: 208-860-8203