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:
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306364534 | NPPES |
| New York | Other | 091721-1 | STATE LICENSE |
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