Individual
MS. SHANNON LEE STIVANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4205 CRAWFORD AVENUE, NORTHERN CAMBRIA, PA 15714
(814) 420-8673
Mailing address
793 OLD ROUTE 119 HWY NORTH, INDIANA, PA 15701
(724) 465-5576
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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