Haut, Shannon
Haut, Shannon is an individual health care provider with primary practice located at 544 S Cornell Ave , Villa Park IL 60181-2948. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Haut, Shannon can be contacted via phone (630) 993-0100.Contact Information
Primary practice address
544 S Cornell Ave
Villa Park IL 60181-2948
Phone: (630) 993-0100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 007328 | Iowa |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.015280 | Illinois |
Profile Details
NPI number | 1518273275 |
---|---|
LBN Legal business name | Haut, Shannon |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 19th, 2010 |
Last updated | Jan 14th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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