Individual provider · Type 1 NPI

Shannon Michael Cornthwaite, LPC

Professional Counselor · Decatur, IL

NPI number 1710801485 Active

Practice location

151 N Main St
Decatur, IL 62523-1206

Fax (217) 422-9714

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178032859 (IL)

Professional Counselor: Definition to come...

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About NPI 1710801485

Shannon Michael Cornthwaite, LPC's National Provider Identifier is 1710801485, issued on Aug 6, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Decatur, IL. The record was last updated on Aug 6, 2026.