Individual provider · Type 1 NPI
Joshua I. Shane, LPC
Professional Counselor · Peoria, IL
NPI number
1013824283
Active
Practice location
2101 W Willow Knolls Dr
Peoria, IL 61614-1219
Fax (309) 693-8342
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178.005449 (IL) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1013824283
Joshua I. Shane, LPC's National Provider Identifier is 1013824283, issued on Aug 25, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Peoria, IL. The record was last updated on Aug 25, 2026.