person
Shannon Marie Dietrich, BA
Counselor in Quincy, Illinois
NPI 1083708796

Shannon Marie Dietrich is a Counselor based in Quincy, IL. Shannon Marie Dietrich practices in Quincy, IL and has the professional credentials of BA. The NPI Number for Shannon Marie Dietrich is 1083708796 and holds a License No. (Illinois).

The current practice location address for Shannon Marie Dietrich is 4409 Maine, Quincy, IL and can be reached out via phone at 217-223-0423 and via fax at 217-223-0461. You can also correspond with Shannon Marie Dietrich through the mailing address at 3107 FOX RUN EAST, QUINCY, IL - 62301 (mailing address contact number: 217-223-0413).

Location: 4409 Maine, Quincy, IL, 62301
person
Provider Profile Details
NPI Number
1083708796
Provider Name
Shannon Marie Dietrich
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
4409 Maine, Quincy, IL, 62301
Phone Number
217-223-0423
Fax Number
217-223-0461
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4409 Maine
City
State
Zip
62305-3646
Phone Number
217-223-0423
Fax Number
217-223-0461
person
Provider Business Mailing Address Details
Address
4409 Maine
City
State
Zip
62305-3646
Phone Number
217-223-0423
Fax Number
217-223-0461
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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