Individual
SHANNON KILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
714 DEWEY ST, MICHIGAN CITY, IN 46360-5543
(219) 861-3937
Mailing address
714 DEWEY ST, MICHIGAN CITY, IN 46360-5543
(219) 861-3937
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004354A
IN
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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