Individual
MS. ALEXANDRIA MARIE SHANKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
240 N RIDGELAND AVE, ELMHURST, IL 60126-2525
(630) 530-1179
Mailing address
240 N RIDGELAND AVE, ELMHURST, IL 60126-2525
(630) 530-1179
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180006724
IL
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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