Individual provider · Type 1 NPI

Shannon Michelle Underwood, MS ED, NCC, LCPC

Professional Counselor · Dekalb, IL

NPI number 1104999317 Active

Practice location

12 Health Services Dr
Dekalb, IL 60115-9637

Fax (815) 756-2944

Mailing address

510 S 2nd St
Dekalb, IL 60115-3722

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed
Professional Counselor 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1104999317

Shannon Michelle Underwood, MS ED, NCC, LCPC's National Provider Identifier is 1104999317, issued on Nov 16, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dekalb, IL. The record was last updated on Jul 8, 2007.