Emily Shenaut Crouser, APCC
Individual provider Active NPI Counselor · Bangor, CA
NPI 1699507293 · NPPES record last updated Aug 14, 2024
Key facts
- NPI
- 1699507293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- APCC17046 (CA)
- Practice address
- 1747 Robinson Mill Rd
Bangor, CA 95914-9706 - Phone
- (530) 304-7328
- NPI assigned
- Aug 14, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APCC17046 | CA | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | APCC17046 | CA | Yes |
Addresses
Primary practice location
1747 Robinson Mill Rd
Bangor, CA 95914-9706
Mailing address
1747 Robinson Mill Rd
Bangor, CA 95914-9706
Phone (530) 304-7328
Other names
- Emily Shenaut
Other providers in Bangor, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.