Shane L. Tytenicz
Shane L. Tytenicz is a Mental Health Counselor in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
40 E Delaware Pl Unit 1601Chicago, IL 60611-2014
Phone: (224) 307-4697
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1245753847 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 25, 2017 |
| Last updated in NPPES | September 21, 2020 |
| Certification date | September 21, 2020 |
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