person
Leslie K Shan, MS
Mental Health Counselor in Lawrenceville, Illinois
NPI 1578018172

Leslie K Shan is a Mental Health Counselor based in Lawrenceville, IL and is specialized in Mental Health. Leslie K Shan practices in Lawrenceville, IL and has the professional credentials of MS. The NPI Number for Leslie K Shan is 1578018172 and holds a License No. (Illinois).

The current practice location address for Leslie K Shan is 11020 State Route 250, Lawrenceville, IL and can be reached out via phone at 618-943-3754 and via fax at 618-943-3657.

Location: 11020 State Route 250, Lawrenceville, IL, 62439
person
Provider Profile Details
NPI Number
1578018172
Provider Name
Leslie K Shan
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
11020 State Route 250, Lawrenceville, IL, 62439
Phone Number
618-943-3754
Fax Number
618-943-3657
Provider Enumeration Date
08/24/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
376003178 (008) 05 IL
institution
Provider Business Practice Location Address Details
Address
11020 State Route 250
City
State
Zip
62439
Phone Number
618-943-3754
Fax Number
618-943-3657
person
Provider Business Mailing Address Details
Address
11020 State Route 250
City
State
Zip
62439
Phone Number
618-943-3754
Fax Number
618-943-3657
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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