MR. Shane M Clubb, M.A., L.C.P.C. is a mental health counselor in Meridian, ID. MR. Shane M Clubb, M.A., L.C.P.C. NPI is 1871554584. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
39 E STATE AVE
MERIDIAN, ID
ZIP 83642-342
Phone: (208) 994-3599
Fax: (208) 473-2206
The enumeration date for this NPI number is 3/31/2006 and was last updated on 12/10/2012.