Shakeela Brown
Rehabilitation Counselor
1016 S Madison St
Du Quoin
, Illinois 62832-2442
Shakeela Brown
Rehabilitation Counselor
1016 S Madison St
Du Quoin
, Illinois 62832-2442
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About
Features
Specialties
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Shakeela Brown
- 1016 S Madison St
- Du Quoin, IL
- Zip : 62832-2442
- Phone :
Second Address
- Shakeela Brown
- 1016 S Madison St
- Du Quoin, IL
- Zip : 62832-2442
- Fax : (618) 542-3442
- Phone : (618) 542-4357
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225C00000X | Rehabilitation Counselor |
National Provider Identifier
| NPI | 1104331537 |
|---|---|
| Provider Name | Shakeela Brown |
| First Address | Du Quoin, IL 62832-2442 |
| Second Address | Du Quoin, IL 62832-2442 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/12/2017 |
| Last Update Date | 07/12/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 376130900001 | (05) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.