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Ms. Shenandoah Cardwell, MA,NCC,LCPC
Professional Counselor in Lake Villa, Illinois
NPI 1710098611

Shenandoah Cardwell is a Professional Counselor based in Lake Villa, IL and is specialized in Professional. Shenandoah Cardwell practices in Lake Villa, IL and has the professional credentials of MA,NCC,LCPC. The NPI Number for Shenandoah Cardwell is 1710098611 and holds a License No. NCC CERT # 22818 (Illinois).

The current practice location address for Shenandoah Cardwell is 34930 N Us Highway 45, Lake Villa, IL and can be reached out via phone at 847-543-7755 and via fax at 847-543-7759.

Location: 34930 N Us Highway 45, Lake Villa, IL, 60046-7537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710098611
Provider Name
Shenandoah Cardwell
Credential
MA,NCC,LCPC
Provider Entity Type
Individual
Gender
Female
Address
34930 N Us Highway 45, Lake Villa, IL, 60046-7537
Phone Number
847-543-7755
Fax Number
847-543-7759
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
169887 01 IL MHN PROVIDER #
institution
Provider Business Practice Location Address Details
Address
34930 N Us Highway 45
City
Lake Villa
State
Illinois
Zip
60046-7537
Phone Number
847-543-7755
Fax Number
847-543-7759
person
Provider Business Mailing Address Details
Address
34930 N Us Highway 45
City
Lake Villa
State
Illinois
Zip
60046-7537
Phone Number
847-543-7755
Fax Number
847-543-7759
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
2906-125 (Wisconsin)
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.
NCC CERT # 22818 ()
Definition
Definition to come...
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