Individual
DANIEL T SHEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
130 N RICHARD PRYOR PL, PEORIA, IL 61605-2484
(309) 671-8084
(309) 671-8088
Mailing address
130 N RICHARD PRYOR PL, PEORIA, IL 61605-2484
(309) 671-8084
(309) 671-8088
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180003823
IL
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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