MS. Shawna Eddy Eddy Kissell, PSYCHOLOGIST, LCPC

NPI #1780209288 in Weiser, Idaho

Provider Information

NPI Number: 1780209288
Entity Type: Individual
Name: MS. Shawna Eddy Eddy Kissell, PSYCHOLOGIST, LCPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: PSYCHOLOGIST, LCPC
Enumeration Date: Jun 10, 2020
Last Updated: Jun 10, 2020

Practice Location

Address: 541 W 3RD ST
City: Weiser
State: Idaho
ZIP Code: 83672-1813
Phone: (208) 549-0995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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