Shannon Ristedt

NPI #1225642762 in Flossmoor, Illinois

Provider Information

NPI Number: 1225642762
Entity Type: Individual
Name: Shannon Ristedt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 2, 2020
Last Updated: Sep 2, 2020

Practice Location

Address: 19530 KEDZIE AVE
City: Flossmoor
State: Illinois
ZIP Code: 60422-1778
Phone: (708) 799-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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