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NPI Code Detail

MEDICARE: SHONDA LAYTON LPCC

MEDICARE: SHONDA LAYTON 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 CounselorE1400005OH
2101YM0800XMental Health CounselorE.1400005-SUPVOH

General Provider Information

NPI Number : 1710010079
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHONDA LAYTON LPCC
Provider Business Mailing Address
First Line : 142 JAVIT CT
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44515-2409
Country : US
Telephone Number : 330-793-2487
Fax Number : 330-793-4559
Provider Business Practice Location Address
First Line : 711 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44502-1039
Country : US
Telephone Number : 330-793-2487
Fax Number : 330-743-5748
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 04/12/2022

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Directions to “ SHONDA LAYTON LPCC” Practice Location

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