Provider Demographics
NPI:1346661733
Name:SHOENER, SARAH (LPC, MA, NCP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:SHOENER
Suffix:
Gender:F
Credentials:LPC, MA, NCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-1589
Mailing Address - Country:US
Mailing Address - Phone:267-255-3507
Mailing Address - Fax:
Practice Address - Street 1:400 S STATE ST
Practice Address - Street 2:
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-1589
Practice Address - Country:US
Practice Address - Phone:267-255-3507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-02
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007320101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional