Individual
SHAE N WHITELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CADC
Contact information
Practice address
101 S LOCUST ST, CENTRALIA, IL 62801-3506
(618) 533-1391
(618) 533-0012
Mailing address
101 S LOCUST ST, CENTRALIA, IL 62801-3506
(618) 533-1391
(618) 533-0012
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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