Provider Demographics
NPI:1417485046
Name:VILLAR, SHAUNA LEE (MASTER OF ARTS)
Entity Type:Individual
Prefix:
First Name:SHAUNA
Middle Name:LEE
Last Name:VILLAR
Suffix:
Gender:F
Credentials:MASTER OF ARTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 GRANDVIEW RD
Mailing Address - Street 2:
Mailing Address - City:OIL CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16301-2077
Mailing Address - Country:US
Mailing Address - Phone:814-676-5614
Mailing Address - Fax:814-677-5760
Practice Address - Street 1:150 PROSPECT AVE STE 102
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-2554
Practice Address - Country:US
Practice Address - Phone:814-432-3320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-26
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional