Underwood, Shannon Michelle

Underwood, Shannon Michelle is an individual health care provider with primary practice located at 12 Health Services Dr , Dekalb IL 60115-9637. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Underwood, Shannon Michelle can be contacted via phone (815) 756-4875.

Contact Information

Primary practice address
12 Health Services Dr Dekalb IL 60115-9637
Phone: (815) 756-4875
Fax: (815) 756-2944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1104999317
LBN Legal business name Underwood, Shannon Michelle
Credentials MS ED, NCC, LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jul 8th, 2007 - about 17 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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