Leslie K Shan, MS

NPI #1578018172 in Lawrenceville, Illinois

Provider Information

NPI Number: 1578018172
Entity Type: Individual
Name: Leslie K Shan, MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MS
Enumeration Date: Aug 24, 2016
Last Updated: Aug 24, 2016

Practice Location

Address: 11020 STATE ROUTE 250
City: Lawrenceville
State: Illinois
ZIP Code: 62439
Phone: (618) 943-3754

Specialties & Taxonomy Codes

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

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