person
Tasha Shannon, LCPC
Professional Counselor in Shiloh, Illinois
NPI 1700590874

Tasha Shannon is a Professional Counselor based in Maryville, IL and is specialized in Professional. Tasha Shannon practices in Shiloh, IL and has the professional credentials of LCPC. The NPI Number for Tasha Shannon is 1700590874 and holds a License No. 180.014589 (Illinois).

The current practice location address for Tasha Shannon is 1941 Frank Scott Pkwy E, Shiloh, IL and can be reached out via phone at 618-972-1568.

Location: 1941 Frank Scott Pkwy E, Shiloh, IL, 62062-5635
person
Provider Profile Details
NPI Number
1700590874
Provider Name
Tasha Shannon
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
1941 Frank Scott Pkwy E, Shiloh, IL, 62062-5635
Phone Number
618-972-1568
Fax Number
Provider Enumeration Date
01/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1941 Frank Scott Pkwy E
City
State
Zip
62269-7387
Phone Number
618-972-1568
Fax Number
person
Provider Business Mailing Address Details
Address
1941 Frank Scott Pkwy E
City
State
Zip
62269-7387
Phone Number
618-972-1568
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.014589 (Illinois)
Definition
Definition to come...
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