Individual provider · Type 1 NPI

Emma Shackleton, LCPC

Professional Counselor · Rockford, IL

NPI number 1396221669 Active

Practice location

695 N Perryville Rd Ste 4
Rockford, IL 61107-6225

Other practice locations

  • 8616 Northern Ave, Rockford, IL 61107-5309 · (815) 332-8003

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.014466 (IL)
Counselor 101Y00000XNone listed

Professional Counselor: Definition to come...

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About NPI 1396221669

Emma Shackleton, LCPC's National Provider Identifier is 1396221669, issued on Jul 19, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on May 1, 2023.