Individual
TOMIKA L SHORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
600 W LINCOLN AVE, CASEYVILLE, IL 62232-1329
(618) 234-9002
Mailing address
3204 EAGLE WAY, CHICAGO, IL 60678-1032
(630) 717-2258
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/25/2018
Last updated
09/25/2018
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