Individual provider · Type 1 NPI
Shelley Gorenz, :LCPC LSW
Professional Counselor · Princeton, IL
NPI number
1548698558
Active
Practice location
1009 S. Main St.
Princeton, IL 61356
Fax (815) 875-1267
Mailing address
1009 S Main St
Princeton, IL 61356-2434
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180001089 (IL) |
Professional Counselor: Definition to come...
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About NPI 1548698558
Shelley Gorenz, :LCPC LSW's National Provider Identifier is 1548698558, issued on Oct 30, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Princeton, IL. The record was last updated on Oct 30, 2013.