Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YS0200X | School Counselor | ||
Y | 101YS0200X | School Counselor | OR |
NPI | 1073648275 |
---|---|
Provider Name | Shelby Carole Schneider |
First Address | Jasper, OR 97438-0299 |
Second Address | Eugene, OR 97401-3570 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 08/07/2007 |