Individual
MADILYN SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
540 JENNER DR, ALLEGAN, MI 49010-1517
(269) 673-6617
Mailing address
540 JENNER DR, ALLEGAN, MI 49010-1517
(269) 673-6617
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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