Individual
MISS BRIANI ZYNETTE SHORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2302 W NORTH AVE STE 1E, CHICAGO, IL 60647-9755
(312) 623-3260
Mailing address
2302 W NORTH AVE STE 1E, CHICAGO, IL 60647-9755
(312) 623-3260
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
150.107202
IL
103TC1900X
Counseling Psychologist
150.107202
IL
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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