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Amber Krystene Shappard
Counselor in Rockford, Illinois
NPI 1104489525

Amber Krystene Shappard is a Counselor based in Rockford, IL. Amber Krystene Shappard practices in Rockford, IL. The NPI Number for Amber Krystene Shappard is 1104489525 and holds a License No. (Illinois).

The current practice location address for Amber Krystene Shappard is 1601 University Dr, Rockford, IL and can be reached out via phone at 815-391-1000.

Location: 1601 University Dr, Rockford, IL, 61107-3877
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104489525
Provider Name
Amber Krystene Shappard
Credential
Provider Entity Type
Individual
Gender
Female
Address
1601 University Dr, Rockford, IL, 61107-3877
Phone Number
815-391-1000
Fax Number
Provider Enumeration Date
04/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1601 University Dr
City
Rockford
State
Illinois
Zip
61107-5317
Phone Number
815-391-1000
Fax Number
person
Provider Business Mailing Address Details
Address
1601 University Dr
City
Rockford
State
Illinois
Zip
61107-5317
Phone Number
815-391-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
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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