Individual
MS. JILL SHANTEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 DEERFOOT WAY, COLUMBIA, MO 65203-6758
(571) 217-6906
Mailing address
3900 DEERFOOT WAY, COLUMBIA, MO 65203-6758
(571) 217-6906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2017030508
MO
104100000X
Social Worker
0903001575
VA
Other
Enumeration date
04/06/2015
Last updated
06/03/2025
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