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KATRINA MARIE SHANNON NPI 1417466012


NPI Information

NPI: 1417466012
Provider Name: KATRINA MARIE SHANNON
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
2 MID AMERICA PLZ STE 110
OAKBROOK TERRACE, IL
ZIP 60181
Phone: (630) 216-9104
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Katrina Marie Shannon is a marriage family therapist in Oakbrook Terrace, IL. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. Katrina Marie Shannon NPI is 1417466012. 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:

2 MID AMERICA PLZ STE 110
OAKBROOK TERRACE, IL
ZIP 60181-711
Phone: (630) 216-9104

The enumeration date for this NPI number is 9/26/2017 and was last updated on 1/22/2024.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106H00000XMarriage & Family TherapistNo
2106H00000XMarriage & Family Therapist166.001263ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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