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Emma Shackleton, LCPC
Counselor in Rockford, Illinois
NPI 1396221669

Emma Shackleton is a Counselor based in Rockford, IL. Emma Shackleton practices in Rockford, IL and has the professional credentials of LCPC. The NPI Number for Emma Shackleton is 1396221669 and holds a License No. 180.014466 (Illinois).

The current practice location address for Emma Shackleton is 695 N Perryville Rd Ste 4, Rockford, IL and can be reached out via phone at 779-368-0060.

Location: 695 N Perryville Rd Ste 4, Rockford, IL, 61107-6225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396221669
Provider Name
Emma Shackleton
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
695 N Perryville Rd Ste 4, Rockford, IL, 61107-6225
Phone Number
779-368-0060
Fax Number
Provider Enumeration Date
07/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
695 N Perryville Rd Ste 4
City
Rockford
State
Illinois
Zip
61107-6225
Phone Number
779-368-0060
Fax Number
person
Provider Business Mailing Address Details
Address
695 N Perryville Rd Ste 4
City
Rockford
State
Illinois
Zip
61107-6225
Phone Number
779-368-0060
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
180.014466 (Illinois)
Definition
Definition to come...
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