Individual provider · Type 1 NPI
Melissa A. Shane, LCPC
Counselor · Peoria, IL
NPI number
1326476482
Active
Practice location
3020 W. Willow Knolls Drive
Peoria, IL 61614-1002
Fax (309) 681-5658
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 180008837 (IL) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1326476482
Melissa A. Shane, LCPC's National Provider Identifier is 1326476482, issued on Oct 28, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Peoria, IL. The record was last updated on Oct 28, 2013.