Shana Jean Conover, L.P.C.
Counselor, Mental Health in Tyler, TX. Individual provider (NPI-1).
NPI number1235200072
StatusActive
Last updated in NPPESApr 20, 2012
Details
- NPI
- 1235200072
- Entity type
- Individual (NPI-1)
- Name
- Ms. Shana Jean Conover
- Credential
- L.P.C.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2006
- Last updated
- Apr 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 18503 | TX | Yes |
Practice location
1810 Shiloh RdSuite 605
Tyler, TX 75703-2419
Phone 903-530-9085
Mailing address
1810 Shiloh RdSuite 605
Tyler, TX 75703-2419
Phone 903-530-9085
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