Shea Haury, LCPC
Counselor, Professional in Red Bud, IL. Individual provider (NPI-1).
NPI number1487790945
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1487790945
- Entity type
- Individual (NPI-1)
- Name
- Shea Haury
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 30, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180004451 | IL | Yes |
Other names
- Shea Willis (Former Name)
Practice location
10257 State Route 3Red Bud, IL 62278-4418
Phone 618-282-6233 · Fax 618-282-6220
Mailing address
1116 Sycamore LnSparta, IL 62286-1053
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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