Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | PC010923 | PA |
NPI | 1003389909 |
---|---|
Provider Name | Shayna Honzo |
First Address | Zelienople, PA 16063-1582 |
Second Address | Butler, PA 16001-5987 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2019 |
Last Update Date | 03/01/2019 |