Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | ||
N | 175F00000X | Naturopath | 04-793 | AZ |
NPI | 1053536821 |
---|---|
Provider Name | Dr. Shawn Evette Joyner |
First Address | Lafayette, CO 80026-8880 |
Second Address | Lafayette, CO 80026-8880 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2007 |
Last Update Date | 10/06/2019 |