Individual provider · Type 1 NPI

Kelsey Lynn Dennis Shave

Counselor · Bloomington, IL

NPI number 1669352225 Active

Practice location

404 N Hershey Rd Ste C
Bloomington, IL 61704-3560

Fax (312) 663-0504

Mailing address

500 W Monroe St Fl 18
Chicago, IL 60661-3759

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X180008381 (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 1669352225

Kelsey Lynn Dennis Shave's National Provider Identifier is 1669352225, issued on Sep 4, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bloomington, IL. The record was last updated on Sep 4, 2025.