Individual
SHANNON J NICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 N 1ST ST STE 225, SPRINGFIELD, IL 62702-3760
(217) 788-4065
(217) 788-4147
Mailing address
901 N 1ST ST STE 225, SPRINGFIELD, IL 62702-3760
(217) 788-4065
(217) 788-4147
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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