Individual
SHANNON EN AI CHIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E OGDEN AVE STE 220, HINSDALE, IL 60521-3546
(408) 614-6264
Mailing address
211 E OHIO ST APT 2023, CHICAGO, IL 60611-3253
(408) 614-6264
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11897194-3904
UT
106H00000X
Marriage & Family Therapist
AMFT116597
CA
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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