Individual provider · Type 1 NPI
Shobana U. Shanmugavelayutham
Mental Health Counselor · Naperville, IL
NPI number
1679134332
Active
Practice location
600 E Diehl Rd Ste 110
Naperville, IL 60563-4896
Mailing address
2301 Beau Monde Ter Apt 106
Lisle, IL 60532-1528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180.012070 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1679134332
Shobana U. Shanmugavelayutham's National Provider Identifier is 1679134332, issued on Jun 24, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Naperville, IL. The record was last updated on Jun 24, 2019.