Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 101187 | OH |
Y | 104100000X | Social Worker | I.1101044 | OH |
N | 1041C0700X | Clinical Social Worker | S.0900762 | OH |
NPI | 1003353988 |
---|---|
Provider Name | Shannon E Frame |
First Address | Columbus, OH 43216-1595 |
Second Address | Athens, OH 45701-1430 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2017 |
Last Update Date | 18/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0202831 | (05) | OH |