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Shay Lynn Swan, MSQMHP
Counselor in Vienna, Illinois
NPI 1356529754

Shay Lynn Swan is a Counselor based in Goreville, IL. Shay Lynn Swan practices in Vienna, IL and has the professional credentials of MSQMHP. The NPI Number for Shay Lynn Swan is 1356529754 and holds a License No. (Illinois).

The current practice location address for Shay Lynn Swan is 408 E Vine St, Vienna, IL and can be reached out via phone at 618-658-2611 and via fax at 618-658-2501. You can also correspond with Shay Lynn Swan through the mailing address at 9230 MANEESE LN, GOREVILLE, IL - 62939-3612 (mailing address contact number: 618-713-2256).

Location: 408 E Vine St, Vienna, IL, 62939-3612
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356529754
Provider Name
Shay Lynn Swan
Credential
MSQMHP
Provider Entity Type
Individual
Gender
Female
Address
408 E Vine St, Vienna, IL, 62939-3612
Phone Number
618-658-2611
Fax Number
618-658-2501
Provider Enumeration Date
02/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
408 E Vine St
City
Vienna
State
Illinois
Zip
62995-1612
Phone Number
618-658-2611
Fax Number
618-658-2501
person
Provider Business Mailing Address Details
Address
9230 Maneese Ln
City
Goreville
State
Illinois
Zip
62939-3612
Phone Number
618-713-2256
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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