Shackelford, James Hubert

Shackelford, James Hubert is an individual health care provider with primary practice located at 1113 S Milwaukee Ave Ste 104, Libertyville IL 60048-3758. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Shackelford, James Hubert can be contacted via phone (847) 367-5991.

Contact Information

Primary practice address
1113 S Milwaukee Ave Ste 104 Libertyville IL 60048-3758
Phone: (847) 367-5991
Fax: (847) 367-5997
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071002782 Illinois
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 24159 Illinois
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 166000265 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071002782 Illinois

Profile Details

NPI number 1326077785
LBN Legal business name Shackelford, James Hubert
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated May 20th, 2020 - about 4 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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