Individual
JOSHUA ROBERT SHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 MARKET ST, STEUBENVILLE, OH 43952-2153
(740) 314-5339
Mailing address
811 PORCARI STREET, CHARLESTON, SC 29412
(425) 417-5620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2304965-TRNE
OH
Other
Enumeration date
06/26/2023
Last updated
07/06/2023
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