Family Life Counseling Center LLC
NPI #1154198786 in Eagle, Idaho
Provider Information
- NPI Number
- 1154198786
- Entity Type
- Organization
- Organization Name
- Family Life Counseling Center LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Dec 5, 2023
- Last Updated
- Jan 16, 2024
Practice Location
Authorized Official
- Name
- SHANE MICHAEL DUTY, LCPC
- Title
- PRESIDENT
- Phone
- (208) 407-8014
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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