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Individual
MS. SHELL CHRISTINE
Active
Individual
MS. SHELL CHRISTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC CRADC NCC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13056
IL
101YM0800X
Mental Health Counselor
75018
IL
101YP2500X
Professional Counselor
Primary
180006736
IL
Other
Enumeration date
01/23/2008
Last updated
12/21/2011
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