Griffith, Shannon

Griffith, Shannon is an individual health care provider with primary practice located at 702 W Chestnut St , Bloomington IL 61701-2814. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Griffith, Shannon can be contacted via phone (309) 557-1438.

Contact Information

Primary practice address
702 W Chestnut St Bloomington IL 61701-2814
Phone: (309) 557-1438
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Counselor 101Y00000X 178.013976 Illinois

Profile Details

NPI number 1699135442
LBN Legal business name Griffith, Shannon
Credentials B.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2016
Last updated Jan 3rd, 2020 - about 5 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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