| Katrina Shannon, Lmft, Pllc | |
|
2 Mid America Plz Ste 110 Oakbrook Terrace IL 60181-4711 | |
| (630) 216-9104 | |
| Not Available |
| Full Name | Katrina Shannon, Lmft, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2 Mid America Plz Ste 110, Oakbrook Terrace, Illinois |
| Authorized Official Name and Position | Katrina Shannon (PRACTICE OWNER) |
| Authorized Official Contact | 6302169104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katrina Shannon, Lmft, Pllc 2 Mid America Plz Ste 110 Oakbrook Terrace IL 60181-4711 Ph: (630) 216-9104 | Katrina Shannon, Lmft, Pllc 2 Mid America Plz Ste 110 Oakbrook Terrace IL 60181-4711 Ph: (630) 216-9104 |
| NPI Number | 1780447813 |
|---|---|
| Provider Enumeration Date | 02/01/2024 |
| Last Update Date | 02/01/2024 |
| Certification Date | 02/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780447813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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