Individual
MS. BONNIE LYNNE SHEVOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
201 EAST JEFFERSON ST, SAMARITAN COUNSELING CENTER, BUTLER, PA 16001
(724) 287-2567
(412) 741-7430
Mailing address
481 CARBON CENTER ROAD, BUTLER, PA 16002
(724) 282-8276
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC002930
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11634100
CAQH UNITED BEHAVIORAL HE
PA
01
—
1465775
HIGHMARK BLUE CROSS BLUE
PA
Enumeration date
03/29/2007
Last updated
07/08/2007
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