Individual provider · Type 1 NPI

Shauna Summers

Professional Counselor · Peoria, IL

NPI number 1487134110 Active

Practice location

809 W Detweiller Dr Ste 804C
Peoria, IL 61615-2132

Call (309) 323-9699 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180011625 (IL)

Professional Counselor: Definition to come...

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About NPI 1487134110

Shauna Summers's National Provider Identifier is 1487134110, issued on Aug 21, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Peoria, IL. The record was last updated on Jul 31, 2026.