Individual
DIANE ISABELLE SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LCPC, LPC
Contact information
Practice address
21 N SKOKIE HWY, SUITE 203, LAKE BLUFF, IL 60044-1777
(847) 594-7447
(847) 745-0658
Mailing address
3 GOLF CTR # 388, HOFFMAN ESTATES, IL 60169-4910
(847) 594-7447
(847) 745-0658
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180-006091
IL
101YP2500X
Professional Counselor
3552-125
WI
101YP2500X
Professional Counselor
4882
NC
106H00000X
Marriage & Family Therapist
Primary
166-000921
IL
Other
Enumeration date
03/22/2008
Last updated
08/09/2013
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