Individual provider · Type 1 NPI
Shannon E. Pivoney, LCPC
Mental Health Counselor · Decatur, IL
NPI number
1790457943
Active
Practice location
270 W Prairie Ave
Decatur, IL 62523-1221
Mailing address
216 Stutely Ln
Springfield, IL 62704-5234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180013924 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1790457943
Shannon E. Pivoney, LCPC's National Provider Identifier is 1790457943, issued on Oct 5, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Decatur, IL. The record was last updated on Oct 5, 2021.