Provider Demographics
NPI:1821197815
Name:KROHN, SHELLY ANN (LPC)
Entity Type:Individual
Prefix:MS
First Name:SHELLY
Middle Name:ANN
Last Name:KROHN
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 1:339 PARK DR
Mailing Address - Street 2:
Mailing Address - City:REEDSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17084-8607
Mailing Address - Country:US
Mailing Address - Phone:717-667-2100
Mailing Address - Fax:
Practice Address - Street 1:516 W 4TH ST
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-2083
Practice Address - Country:US
Practice Address - Phone:717-363-4973
Practice Address - Fax:717-363-4974
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003114101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional