Individual provider · Type 1 NPI

Brandy Shirley, LCPC

Professional Counselor · Champaign, IL

NPI number 1366023228 Active

Practice location

309 W Clark St
Champaign, IL 61820-4637

Call (217) 398-9066 Map

Fax (217) 398-9077

Other practice locations

  • 109 W Jefferson Ave, Effingham, IL 62401-2344 · (812) 783-0447
  • 10845 E Kingwood Dr, Effingham, IL 62401-4348 · (812) 783-0447

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X180.011488 (IL)
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1366023228

Brandy Shirley, LCPC's National Provider Identifier is 1366023228, issued on Apr 20, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Champaign, IL. The record was last updated on Nov 15, 2022.