-- SHAUNNA BACH -- MS,LPC,NCC,
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1427473594- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MS,LPC,NCC,
- Status
- Active
Contact & Location
- Address
- 4060 E CHINDEN BLVD, EAGLE, ID, 836166481
- Phone
- (208) 629-6850
Specialties & Taxonomies
Counselor, Professional
Primary License: ID #LPC-5266