person
Ms. Kathleen M Shea, LCPC,CADC
Professional Counselor in Ottawa, Illinois
NPI 1871074930

Kathleen M Shea is a Professional Counselor based in Ottawa, IL and is specialized in Professional. Kathleen M Shea practices in Ottawa, IL and has the professional credentials of LCPC,CADC. The NPI Number for Kathleen M Shea is 1871074930 and holds a License No. 180.002890 (Illinois).

The current practice location address for Kathleen M Shea is 417 W Madison St, Ottawa, IL and can be reached out via phone at 815-431-8206.

Location: 417 W Madison St, Ottawa, IL, 61350-2836
person
Provider Profile Details
NPI Number
1871074930
Provider Name
Kathleen M Shea
Credential
LCPC,CADC
Provider Entity Type
Individual
Gender
Female
Address
417 W Madison St, Ottawa, IL, 61350-2836
Phone Number
815-431-8206
Fax Number
Provider Enumeration Date
08/27/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1154538510 01 IL LCPC, CADC
institution
Provider Business Practice Location Address Details
Address
417 W Madison St
City
State
Zip
61350-2836
Phone Number
815-431-8206
Fax Number
person
Provider Business Mailing Address Details
Address
417 W Madison St
City
State
Zip
61350-2836
Phone Number
815-431-8206
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180.002890 (Illinois)
Definition
Definition to come...
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