Individual
MRS. SHANNON KAYE MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRADC
Contact information
Practice address
503 S PRAIRIE ST, GREENVILLE, IL 62246-1847
(618) 664-1455
(618) 664-1744
Mailing address
503 S PRAIRIE ST, GREENVILLE, IL 62246-1847
(618) 664-1455
(618) 664-1744
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24675
IL
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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