Shawn S. Gravelle is a Counselor in Chubbuck, Idaho. Shawn S. Gravelle practices all healthcare services and medical treatments related to Counselor. The NPI Number for Shawn S. Gravelle is 1295855963. The last update date is 2008-06-27.
Shawn S. Gravelle's current location address is 771 Pinewood St, Chubbuck, Idaho. You can contact this provider via phone number 2083800545. The mailing address for Shawn S. Gravelle is 771 Pinewood St, Chubbuck, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawn S. Gravelle |
|---|---|
| Address | 771 Pinewood St, Chubbuck, Idaho |
| Phone Number | 2083800545 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1295855963 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2008-06-27 |
Provider Mailing Address Detail
| Address | 771 Pinewood St |
|---|---|
| City | Chubbuck |
| State | Idaho (ID) |
| Post Code | 832022651 |
| Phone Number | 2083800545 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | LPC3523 |
|
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
|
Post Comment/ Review Below
What is the Shawn S. Gravelle's unique identification number?
The Shawn S. Gravelle has been assigned the NPI (National Provider Identifier) Number 1295855963 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Shawn S. Gravelle's physical address?
The Shawn S. Gravelle is physically located at 771 Pinewood St, in the city of Chubbuck, ID, with the postal code 832022651.
What is Shawn S. Gravelle's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shawn S. Gravelle's specialized field of practice is Counselor, and the corresponding taxonomy code that categorizes this area of specialization is 101Y00000X.
When was the Shawn S. Gravelle's 1295855963 issued?
The Shawn S. Gravelle's 1295855963 was issued on 2007-03-29.
When was the information pertaining to Shawn S. Gravelle most recently updated or revised?
The details related to Shawn S. Gravelle, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-27.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN