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General NPI Number Information
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NPI Number | 1821391525
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Entity Type | Individual
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Provider Name | DOUGLAS J SHEY LPC
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Gender | Male
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Dates
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Enumeration Date | 12/19/2010
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 410 S ORCHARD ST STE 124
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City | BOISE
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State | ID
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Zip | 83705-1210
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Country | US
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Telephone | 208-515-2127
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Fax | 208-600-6912
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Provider Business Mailing Address
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Address Line | 410 S ORCHARD ST STE 124
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City | BOISE
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State | ID
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Zip | 83705-1210
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Country | US
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Telephone | 208-515-2127
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Fax | 208-600-6912
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8076
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 01913
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8076
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License Number State | ID
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