Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1255633079 |
---|---|
Provider Name | Shannon Van-Spanje |
First Address | Easton, PA 18042-3518 |
Second Address | Easton, PA 18042-3518 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2010 |
Last Update Date | 30/11/2010 |