Individual
MRS. GLYNNIS ANN SHRYOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3000 LENHART RD, LIVING HOPE COUNSELING CENTER, SPRINGFIELD, IL 62711-9203
(217) 698-7150
(217) 698-7085
Mailing address
3000 LENHART RD, LIVING HOPE COUNSELING CENTER, SPRINGFIELD, IL 62711-9203
(217) 698-7150
(217) 698-7085
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
180.007801
IL
101YM0800X
Mental Health Counselor
180.007801
IL
101YP2500X
Professional Counselor
Primary
180.007801
IL
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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