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NPI Code Detail

MEDICARE: MR. SHAWN EMERSON HONNERLAW LPCC

MEDICARE: MR. SHAWN EMERSON HONNERLAW LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorE.0500943OH

General Provider Information

NPI Number : 1205052404
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SHAWN EMERSON HONNERLAW LPCC
Provider Business Mailing Address
First Line : 8035 HOSBROOK RD
Second Line : SUITE 300
City : CINCINNATI
State : OH
Zip : 45236-2951
Country : US
Telephone Number : 513-791-5990
Fax Number : 513-792-3308
Provider Business Practice Location Address
First Line : 10921 REED HARTMAN HWY STE 133
Second Line :
City : BLUE ASH
State : OH
Zip : 45242-2851
Country : US
Telephone Number : 513-984-9838
Fax Number : 513-984-8075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2007
Last Update Date : 05/23/2019

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