IndividualActive
Shelly Hawk
NPI 1730397936 · Professional Counselor · Aledo, IL
Provider details
- NPI number
- 1730397936
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 180.013203 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Developmental Therapist222Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1691 30th Ave
Aledo, IL 61231-8645
Phone: (309) 586-4121
Fax: (309) 586-4121
Approximate (ZIP-level) locationGet directions
Mailing address
1691 30th Ave
Aledo, IL 61231-8645
Registry dates
- Enumerated
- 2007-05-19
- Last updated
- 2025-07-21
- Certified
- 2025-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.