| Shane Weideman, | |
|
2007 E Quail Run Rd, Emmett, ID 83617-5059 | |
| (208) 365-5445 | |
| Not Available |
| Full Name | Shane Weideman |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 2007 E Quail Run Rd, Emmett, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336697366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC-6270 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Weideman, 2305 Valley View Dr, Weiser, ID 83672-1245 Ph: (208) 540-0226 | Shane Weideman, 2007 E Quail Run Rd, Emmett, ID 83617-5059 Ph: (208) 365-5445 |
Stephanie Ann Sternes, LCPC, LAMFT, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1016 E Locust St, Emmett, ID 83617 Phone: 208-918-0054 Fax: 844-696-1471 | |
April Browne, LCSW CADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2031 E Quail Run Rd, Emmett, ID 83617 Phone: 208-365-2525 Fax: 208-365-2234 | |
Ms. Randi Jo Korell, MS LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 N Commercial, Emmett, ID 83617 Phone: 208-398-8473 Fax: 208-398-8311 | |
Terry Rasmussen, MS, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1016 E Locust St, Emmett, ID 83617 Phone: 208-565-8213 Fax: 844-696-1471 | |
Danielle Dominique Langley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1286 E Sales Yard Rd, Emmett, ID 83617 Phone: 208-329-8421 | |
Jill Janay Sprague, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 829b S Washington Ave, Emmett, ID 83617 Phone: 208-365-3141 Fax: 208-398-8311 |