Individual
MONA JANIS SHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, MAC
Contact information
Practice address
8115 E INDIAN BEND RD STE 119, SCOTTSDALE, AZ 85250-4819
(480) 808-8040
Mailing address
8115 E INDIAN BEND RD STE 119, SCOTTSDALE, AZ 85250-4819
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16426
AZ
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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