Individual
SHAWN THOMAS RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
41W400 SILVER GLEN RD, SAINT CHARLES, IL 60175-8453
(331) 901-4225
Mailing address
240 PEACH TREE LN, ELK GROVE VILLAGE, IL 60007-4022
(267) 280-3326
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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