Doctor Name: | MISS SHAWNN PARR |
NPI Number: | 1366612640 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 39001914 |
Business Practice Address: | 1001 Lonetree Road Linton, IN - 474410553 |
Business Phone Number: | 8128474435 |
Business Fax Number: | 8128478297 |
Mailing Address: | Po Box 4323, 620 8th Avenue TERRE HAUTE |
State: | IN |
Postal Code: | 478040323 |
Phone Number: | 8122318315 |
Fax Number: | 8122318445 |
NPI Enumeration Date: | 03/03/2008 |
NPI Last Update Date: | 03/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 39001914 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |