Provider Demographics
NPI:1982969929
Name:MCKEAN, SHAWNA LEE (LPC)
Entity Type:Individual
Prefix:MS
First Name:SHAWNA
Middle Name:LEE
Last Name:MCKEAN
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 1:245 W LINN ST REAR
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTE
Mailing Address - State:PA
Mailing Address - Zip Code:16823-1519
Mailing Address - Country:US
Mailing Address - Phone:814-355-5684
Mailing Address - Fax:
Practice Address - Street 1:113 S SPRING ST APT 2
Practice Address - Street 2:
Practice Address - City:BELLEFONTE
Practice Address - State:PA
Practice Address - Zip Code:16823-1348
Practice Address - Country:US
Practice Address - Phone:814-355-5684
Practice Address - Fax:814-690-2227
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006193101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health