Individual provider · Type 1 NPI

Tasha Shannon, LCPC

Professional Counselor · Shiloh, IL

NPI number 1700590874 Active

Practice location

1941 Frank Scott Pkwy E
Shiloh, IL 62269-7387

Call (618) 972-1568 Map

Mailing address

3 Oak Dr Ste B
Maryville, IL 62062-5635

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.014589 (IL)

Professional Counselor: Definition to come...

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About NPI 1700590874

Tasha Shannon, LCPC's National Provider Identifier is 1700590874, issued on Jan 12, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shiloh, IL. The record was last updated on Jan 12, 2023.