Individual provider · Type 1 NPI
Shane L. Tytenicz
Mental Health Counselor · Chicago, IL
NPI number
1245753847
Active
Practice location
40 E Delaware Pl, Unit 1601
Chicago, IL 60611-2014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1245753847
Shane L. Tytenicz's National Provider Identifier is 1245753847, issued on Jul 25, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Sep 21, 2020.