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De'Shace Short
NPI 1386429686 · on the registry since 2023 · sole proprietor
Practice
- Address
- 5758 Elaine Dr Ste 112
Rockford, IL 61108 - Phone
- (815) 975-1177
- Organisation at this address
- Megan Alberto, Lcpc, Llc
Beth Johnston, Lcsw, Pllc
Great Lakes Neuropsychology & Counseling LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-28
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