Individual provider · Type 1 NPI
Jo Anna Shotiveyaratana, MA, LPC
Professional Counselor · Pocatello, ID
NPI number
1104424191
Active
Practice location
756 Ash St
Pocatello, ID 83201-6104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Counselor | 101YS0200X | LPC-7837 (ID) |
| Professional Counselor Primary | 101YP2500X | LPC-7837 (ID) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1104424191
Jo Anna Shotiveyaratana, MA, LPC's National Provider Identifier is 1104424191, issued on Oct 13, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pocatello, ID. The record was last updated on Jan 9, 2025.