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Organization
NEUROTHERAPY INSTITUTE, PLLC
Active
Organization
NEUROTHERAPY INSTITUTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE G. YOUNG MA, NCC, LCPC (LICENSED CLINICAL PROFESSIONAL COUN)
(309) 202-4177
Entity
Organization
Contact information
Practice address
8420 N KNOXVILLE AVE, SUITE C PMB 1043, PEORIA, IL 61615
(309) 202-4417
Mailing address
8420 N KNOXVILLE AVE, SUITE C PMB 1043, PEORIA, IL 61615
(309) 202-4417
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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