Individual provider · Type 1 NPI

Shelly D. Punke, LCPC

Mental Health Counselor · La Salle, IL

NPI number 1306996905 Active

Practice location

2960 Chartres St
La Salle, IL 61301-1097

Fax (815) 223-1634

Mailing address

PO Box 1488, 2960 Chartres Street
La Salle, IL 61301-3488

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X180-0063553 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1306996905

Shelly D. Punke, LCPC's National Provider Identifier is 1306996905, issued on Jan 12, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in La Salle, IL. The record was last updated on Jul 8, 2007.