MS. Shelly D Punke, LCPC

NPI #1306996905 in La Salle, Illinois

Provider Information

NPI Number: 1306996905
Entity Type: Individual
Name: MS. Shelly D Punke, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LCPC
Enumeration Date: Jan 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2960 CHARTRES ST
City: La Salle
State: Illinois
ZIP Code: 61301-1097
Phone: (815) 224-1610

Specialties & Taxonomy Codes

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

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