JO ANNA SHOTIVEYARATANA MA LPC NPI 1104424191

NPI Information

NPI: 1104424191
Provider Name: JO ANNA SHOTIVEYARATANA, MA, LPC
Classification: Counselor - 101YS0200X
Entity Type: Individual

Specialization: School

Address:
707 W WYETH ST
POCATELLO, ID
ZIP 83204
Phone: (208) 240-3799
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Jo Anna Shotiveyaratana, MA, LPC is a school counselor in Pocatello, ID. Jo Anna Shotiveyaratana, MA, LPC NPI is 1104424191. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

707 W WYETH ST
POCATELLO, ID
ZIP 83204-058
Phone: (208) 240-3799

The enumeration date for this NPI number is 10/13/2020 and was last updated on 10/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YS0200X	Counselor	School	LPC-7837	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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