Aguirre, Shayne M.

Aguirre, Shayne M. is an sole proprietor health care provider with primary practice located at 120 S 13Th St , Saint Maries ID 83861-1627. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Aguirre, Shayne M. can be contacted via phone (208) 245-4363.

Contact Information

Primary practice address
120 S 13Th St Saint Maries ID 83861-1627
Phone: (208) 245-4363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-4990 Idaho
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-4990 Idaho
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LPC-4990 Idaho

Profile Details

NPI number 1184968091
LBN Legal business name Aguirre, Shayne M.
Credentials LPC, NCC, QSUDP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2012
Last updated Jun 25th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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