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:
Health care specialties
Specialty | Code | License # | 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 last year |
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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