De'Shace Short
De'Shace Short is a Professional Counselor in Rockford, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
5758 Elaine Dr Ste 112Rockford, IL 61108-3102
Phone: (815) 975-1177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X (IL) |
|---|
Record details
| NPI number | 1386429686 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 28, 2023 |
| Last updated in NPPES | August 28, 2023 |
| Certification date | August 26, 2023 |
| Mailing address | 9840 S Genoa Ave, Chicago, IL 60643-1537 |
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