Individual
SHANNON MCELROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4150 ILLINOIS RD, FORT WAYNE, IN 46804-1208
(260) 702-3773
Mailing address
359 PISTOIA CV, FORT WAYNE, IN 46845-8506
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99084657A
IN
Other
Enumeration date
07/31/2018
Last updated
04/09/2019
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