Individual
DR. JAMES HUBERT SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1113 S MILWAUKEE AVE, STE 104, LIBERTYVILLE, IL 60048-3758
(847) 367-5991
(847) 367-5997
Mailing address
1113 S MILWAUKEE AVE, STE 104, LIBERTYVILLE, IL 60048-3759
(847) 367-5991
(847) 367-5997
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
24159
IL
103T00000X
Psychologist
071002782
IL
103TC0700X
Clinical Psychologist
Primary
071002782
IL
106H00000X
Marriage & Family Therapist
166000265
IL
Other
Enumeration date
06/30/2006
Last updated
05/20/2020
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