Amber Krystene Shappard

NPI #1104489525 in Rockford, Illinois

Provider Information

NPI Number: 1104489525
Entity Type: Individual
Name: Amber Krystene Shappard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Apr 22, 2019
Last Updated: Apr 22, 2019

Practice Location

Address: 1601 UNIVERSITY DR
City: Rockford
State: Illinois
ZIP Code: 61107-5317
Phone: (815) 391-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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