Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | PC008317 | PA |
NPI | 1003282591 |
---|---|
Provider Name | Shanna Erin Reese |
First Address | Strabane, PA 15363 |
Second Address | Bridgeville, PA 15017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2015 |
Last Update Date | 19/08/2015 |