person
Samantha Shoop, QMHP
Mental Health Counselor in Pontiac, Illinois
NPI 1316603749

Samantha Shoop is a Mental Health Counselor based in Pontiac, IL and is specialized in Mental Health. Samantha Shoop practices in Pontiac, IL and has the professional credentials of QMHP. The NPI Number for Samantha Shoop is 1316603749 and holds a License No. (Illinois).

The current practice location address for Samantha Shoop is 920 W Custer Ave, Pontiac, IL and can be reached out via phone at 815-844-6109 and via fax at 815-844-3561.

Location: 920 W Custer Ave, Pontiac, IL, 61764-0768
person
Provider Profile Details
NPI Number
1316603749
Provider Name
Samantha Shoop
Credential
QMHP
Provider Entity Type
Individual
Gender
Female
Address
920 W Custer Ave, Pontiac, IL, 61764-0768
Phone Number
815-844-6109
Fax Number
815-844-3561
Provider Enumeration Date
11/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
920 W Custer Ave
City
State
Zip
61764-1067
Phone Number
815-844-6109
Fax Number
815-844-3561
person
Provider Business Mailing Address Details
Address
920 W Custer Ave
City
State
Zip
61764-1067
Phone Number
815-844-6109
Fax Number
815-844-3561
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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