SearchIllinois101YM0800X

Shawna Waller, LCPC

NPI 1225991128 · on the registry since 2025

Practice

Address
2004 Fox Dr Ste E
Champaign, IL 61820
Phone
(217) 398-8067
Clinicians at this address
3

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois