Male or Other

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

Provider Address