MELISSA A SHANE LCPC NPI 1326476482

NPI Information

Melissa A Shane, LCPC is a counselor in Peoria, IL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Melissa A Shane, LCPC NPI is 1326476482. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3020 W. WILLOW KNOLLS DRIVE
PEORIA, IL
ZIP 61614-002
Phone: (309) 681-5850
Fax: (309) 681-5658

The enumeration date for this NPI number is 10/28/2013 and was last updated on 10/28/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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