Individual
AMBER NICOLE SHRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, CADC
Contact information
Practice address
34 W GRAND AVE UNIT 101, FOX LAKE, IL 60020-1224
(847) 322-2975
Mailing address
5807 BUNNY AVE, MCHENRY, IL 60051-6268
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
39105
IL
104100000X
Social Worker
Primary
150.114576
IL
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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