Shayne M. Aguirre LPC, NCC, QSUDP
Mental Health Counselor in Saint Maries, ID(View on Map)
Full Name
Shayne M. Aguirre LPC, NCC, QSUDP
NPI Number
1184968091
NPI Type
Individual Provider
Gender
Male
Enumeration Date
11/15/2012
Specialties
(Taxonomies)Code
101YM0800X
101YA0400X
101YP2500X
Primary Taxonomy
Yes
No
No
Licenses
State
Idaho
License Number
LPC-4990
Contact
Information
Purpose
Mailing
Location
Address
312 S 4TH ST
120 S 13TH ST
City
Saint Maries
Saint Maries
State
ID
ID
Postal Code
83861-2015
83861-1627
Country
US
US
Telephone Number
(208) 568-1398
(208) 245-4363
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/17/2024