Individual provider · Type 1 NPI

Diane Shin

Mental Health Counselor · Libertyville, IL

NPI number 1861155061 Active

Practice location

1585 N Milwaukee Ave Ste 109
Libertyville, IL 60048-1359

Call (224) 707-4321 Map

Mailing address

160 Marion Ave
Lake Forest, IL 60045-2962

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1861155061

Diane Shin's National Provider Identifier is 1861155061, issued on Oct 15, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Libertyville, IL. The record was last updated on Oct 15, 2021.