SHANNON KAYE MOTT

GREENVILLE, IL
NPI1417185638
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  24675)
Enumeration Date2009-06-25
Last Update Date2009-06-25
Business Address
Mrs. SHANNON KAYE MOTT CRADC
503 S PRAIRIE ST
GREENVILLE, IL 62246-1847
Phone number: 618-664-1455
Mailing Address
Mrs. SHANNON KAYE MOTT CRADC
503 S PRAIRIE ST
GREENVILLE, IL 62246-1847
Phone number: 618-664-1455