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Diane Shin
Mental Health Counselor in Libertyville, Illinois
NPI 1861155061

Diane Shin is a Mental Health Counselor based in Lake Forest, IL and is specialized in Mental Health. Diane Shin practices in Libertyville, IL. The NPI Number for Diane Shin is 1861155061 and holds a License No. (Illinois).

The current practice location address for Diane Shin is 1585 N Milwaukee Ave Ste 109, Libertyville, IL and can be reached out via phone at 224-707-4321.

Location: 1585 N Milwaukee Ave Ste 109, Libertyville, IL, 60045-2962
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861155061
Provider Name
Diane Shin
Credential
Provider Entity Type
Individual
Gender
Female
Address
1585 N Milwaukee Ave Ste 109, Libertyville, IL, 60045-2962
Phone Number
224-707-4321
Fax Number
Provider Enumeration Date
10/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1585 N Milwaukee Ave Ste 109
City
Libertyville
State
Illinois
Zip
60048-1359
Phone Number
224-707-4321
Fax Number
person
Provider Business Mailing Address Details
Address
1585 N Milwaukee Ave Ste 109
City
Libertyville
State
Illinois
Zip
60048-1359
Phone Number
224-707-4321
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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