Individual
MS. HEATHER SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1200 N ASHLAND AVE, 3RD FLOOR, CHICAGO, IL 60622-2259
(773) 850-2295
Mailing address
1200 N ASHLAND AVE, 3RD FLOOR, CHICAGO, IL 60622-2259
(773) 850-2295
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178005052
IL
101YP2500X
Professional Counselor
Primary
180007881
IL
Other
Enumeration date
03/15/2011
Last updated
06/17/2011
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