Brodhead, Shonna Jolene

Brodhead, Shonna Jolene is an individual health care provider with primary practice located at Brightpath Counseling 7266 Buckley Road, North Syracuse NY 13212. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Brodhead, Shonna Jolene can be contacted via phone (315) 458-0919.

Contact Information

Primary practice address
Brightpath Counseling 7266 Buckley Road North Syracuse NY 13212
Phone: (315) 458-0919
Fax: (315) 458-0594
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 091721-1 New York

Profile Details

NPI number 1306364534
LBN Legal business name Brodhead, Shonna Jolene
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2017
Last updated Sep 8th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306364534 NPPES
New York Other 091721-1 STATE LICENSE

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