Lange, Shannon R
Lange, Shannon R is an individual health care provider with primary practice located at 3 S Brady St Ste 205 , Du Bois PA 15801-2159. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Lange, Shannon R can be contacted via phone (814) 371-1088.Contact Information
Primary practice address
3 S Brady St Ste 205
Du Bois PA 15801-2159
Phone: (814) 371-1088
Fax: (814) 371-4966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC014250 | Pennsylvania |
Profile Details
| NPI number | 1023764073 |
|---|---|
| LBN Legal business name | Lange, Shannon R |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2022 |
| Last updated | Mar 1st, 2022 - about 2 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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