Shannon L Traver is a Professional in Boise, Idaho. Shannon L Traver practices all healthcare services and medical treatments related to Professional. The NPI Number for Shannon L Traver is 1922284900. The last update date is 2011-01-07.
Shannon L Traver's current location address is 750 Warm Springs Ave Ste D, Boise, Idaho. You can contact this provider via phone number 2088717693. The mailing address for Shannon L Traver is 750 Warm Springs Ave Ste D, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon L Traver |
|---|---|
| Address | 750 Warm Springs Ave Ste D, Boise, Idaho |
| Phone Number | 2088717693 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1922284900 |
|---|---|
| Provider Enumeration Date | 2008-01-21 |
| Last Updated Date | 2011-01-07 |
Provider Mailing Address Detail
| Address | 750 Warm Springs Ave Ste D |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837126457 |
| Phone Number | 2088717693 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | LCPC3935 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Shannon L Traver?
The Shannon L Traver has been issued the NPI (National Provider Identifier) 1922284900 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Shannon L Traver?
The Shannon L Traver is situated at 750 Warm Springs Ave Ste D, in the city of Boise, state of ID, with the zip code 837126457.
What is Shannon L Traver's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shannon L Traver's area of specialization is Professional, and the corresponding taxonomy code that categorizes this field of practice is 101Yp2500X.
When was the Shannon L Traver's 1922284900 issued?
The Shannon L Traver's 1922284900 was issued on 2008-01-21.
As of what date was the information pertaining to Shannon L Traver, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shannon L Traver, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-01-07.
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