Individual
KATRINA MARIE SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 MID AMERICA PLZ STE 110, OAKBROOK TERRACE, IL 60181-4711
(630) 216-9104
Mailing address
2 MID AMERICA PLZ STE 110, OAKBROOK TERRACE, IL 60181-4711
(630) 216-9104
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001263
IL
106H00000X
Marriage & Family Therapist
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Other
Enumeration date
09/26/2017
Last updated
01/22/2024
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