Individual
BRANDY SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180.011488
IL
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
04/20/2021
Last updated
11/15/2022
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