Individual
MR. SHAWN EARL NILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., NBCC, LPC,QMHP
Contact information
Practice address
914 NE 3RD ST, MADISON, SD 57042-2435
(605) 256-9656
(605) 256-2891
Mailing address
914 NE 3RD ST, MADISON, SD 57042-2435
(605) 256-9656
(605) 256-2891
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 972
SD
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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