Provider Demographics
NPI:1891206850
Name:AUGHENBAUGH, SHANNA LEE (MA, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:SHANNA
Middle Name:LEE
Last Name:AUGHENBAUGH
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:554 PLEASANT VIEW DR
Mailing Address - Street 2:
Mailing Address - City:APOLLO
Mailing Address - State:PA
Mailing Address - Zip Code:15613-9225
Mailing Address - Country:US
Mailing Address - Phone:724-858-7204
Mailing Address - Fax:
Practice Address - Street 1:341 STORY RD
Practice Address - Street 2:
Practice Address - City:EXPORT
Practice Address - State:PA
Practice Address - Zip Code:15632-2666
Practice Address - Country:US
Practice Address - Phone:724-468-3999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-17
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009805101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional