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Melissa A Shane, LCPC
Counselor in Peoria, Illinois
NPI 1326476482

Melissa A Shane is a Counselor based in Peoria, IL. Melissa A Shane practices in Peoria, IL and has the professional credentials of LCPC. The NPI Number for Melissa A Shane is 1326476482 and holds a License No. 180008837 (Illinois).

The current practice location address for Melissa A Shane is 3020 W. Willow Knolls Drive, Peoria, IL and can be reached out via phone at 309-681-5850 and via fax at 309-681-5658.

Location: 3020 W. Willow Knolls Drive, Peoria, IL, 61614-1002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326476482
Provider Name
Melissa A Shane
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
3020 W. Willow Knolls Drive, Peoria, IL, 61614-1002
Phone Number
309-681-5850
Fax Number
309-681-5658
Provider Enumeration Date
10/28/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3020 W. Willow Knolls Drive
City
Peoria
State
Illinois
Zip
61614-1002
Phone Number
309-681-5850
Fax Number
309-681-5658
person
Provider Business Mailing Address Details
Address
3020 W. Willow Knolls Drive
City
Peoria
State
Illinois
Zip
61614-1002
Phone Number
309-681-5850
Fax Number
309-681-5658
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
180008837 (Illinois)
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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