Tasha Shannon, LCPC

NPI #1700590874 in Shiloh, Illinois

Provider Information

NPI Number: 1700590874
Entity Type: Individual
Name: Tasha Shannon, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: Jan 12, 2023
Last Updated: Jan 12, 2023

Practice Location

Address: 1941 FRANK SCOTT PKWY E
City: Shiloh
State: Illinois
ZIP Code: 62269-7387
Phone: (618) 972-1568

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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