Individual
DR. SHAWN PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LPC, LCPC
Contact information
Practice address
8763 LANTERN DR, SAINT JOHN, IN 46373-9317
(636) 459-0922
Mailing address
8763 LANTERN DR, SAINT JOHN, IN 46373-9317
(636) 459-0922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.012361
IL
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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