Provider Demographics
NPI:1003282591
Name:REESE, SHANNA ERIN (LPC)
Entity Type:Individual
Prefix:
First Name:SHANNA
Middle Name:ERIN
Last Name:REESE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 ALEXANDER AVE.
Mailing Address - Street 2:
Mailing Address - City:STRABANE
Mailing Address - State:PA
Mailing Address - Zip Code:15363
Mailing Address - Country:US
Mailing Address - Phone:724-323-3802
Mailing Address - Fax:
Practice Address - Street 1:3117 WASHINGTON PIKE
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017
Practice Address - Country:US
Practice Address - Phone:412-257-1571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008317101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional