Individual
MR. JAMIE SHAWGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
922 S 4TH ST, SPRINGFIELD, IL 62703-2223
(217) 544-1027
(217) 544-8148
Mailing address
420 GASKILL DR., SPRINGFIELD, IL 62707
(217) 787-7127
(217) 544-8148
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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