IndividualActive
Shandray Surmeyer, CRC, COUNSELOR INTER
NPI 1083439079 · Rehabilitation Counselor · Coeur D'Alene, ID
Provider details
- NPI number
- 1083439079
- Entity type
- Individual
- Primary specialty
- Rehabilitation CounselorRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CRC, COUNSELOR INTER
- Sex
- Female
- Sole proprietor
- No
- License
- 9961975 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Behavioral Health & Social Service Providers
Practice location
211 E. Coeur D'Alene Ave
Coeur D'Alene, ID 83814
Phone: (208) 717-1239
Fax: (208) 620-2306
Approximate (ZIP-level) locationGet directions
Mailing address
211 E. Coeur D'Alene Ave
Coeur D'Alene, ID 83814
Registry dates
- Enumerated
- 2024-11-15
- Last updated
- 2024-11-15
- Certified
- 2024-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.