| NPI | 1447923768 |
|---|---|
| Doing Business As | BETH SHELTON KHAN LCSW |
| Entity Type | Organization |
| Authorized Contact | BETH KHAN Owner 815-260-1453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-08-01 |
| Last Update Date | 2021-08-01 |