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NPI Code Detail

MEDICARE: SHELLEY LOUISE SCOTT LPC

MEDICARE: SHELLEY LOUISE SCOTT LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC-4345ID

General Provider Information

NPI Number : 1548602998
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELLEY LOUISE SCOTT LPC
Provider Business Mailing Address
First Line : 151 N 3RD AVE STE 330
Second Line :
City : POCATELLO
State : ID
Zip : 83201-6369
Country : US
Telephone Number : 208-242-3771
Fax Number : 208-242-3772
Provider Business Practice Location Address
First Line : 151 N 3RD AVE STE 330
Second Line :
City : POCATELLO
State : ID
Zip : 83201-6369
Country : US
Telephone Number : 208-242-3771
Fax Number : 208-242-3772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2013
Last Update Date : 06/10/2024

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Directions to “ SHELLEY LOUISE SCOTT LPC” Practice Location

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