Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ACB.0007705 | CO |
Y | 101YM0800X | Mental Health Counselor | LPC.0012540 | CO |
NPI | 1003443714 |
---|---|
Provider Name | Bridgette Renee Schossow Reinsmith |
First Address | Darragh, PA 15625-0080 |
Second Address | Greensburg, PA 15601-2678 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2020 |
Last Update Date | 19/08/2020 |