person
Shawn Jeffry Miller, LPC
Professional Counselor in Peoria, Illinois
NPI 1033989751

Shawn Jeffry Miller is a Professional Counselor based in Peoria, IL and is specialized in Professional. Shawn Jeffry Miller practices in Peoria, IL and has the professional credentials of LPC. The NPI Number for Shawn Jeffry Miller is 1033989751 and holds a License No. 178018604 (Illinois).

The current practice location address for Shawn Jeffry Miller is 218 E Cherry Ridge Rd, Peoria, IL and can be reached out via phone at 309-253-0216.

Location: 218 E Cherry Ridge Rd, Peoria, IL, 61614-5117
person
Provider Profile Details
NPI Number
1033989751
Provider Name
Shawn Jeffry Miller
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
218 E Cherry Ridge Rd, Peoria, IL, 61614-5117
Phone Number
309-253-0216
Fax Number
Provider Enumeration Date
01/03/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
218 E Cherry Ridge Rd
City
State
Zip
61614-5117
Phone Number
309-253-0216
Fax Number
person
Provider Business Mailing Address Details
Address
218 E Cherry Ridge Rd
City
State
Zip
61614-5117
Phone Number
309-253-0216
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178018604 (Illinois)
Definition
Definition to come...
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