Provider Demographics
NPI:1376825398
Name:JHOBALIA, SHILPA S (LCPC, NCC)
Entity Type:Individual
Prefix:
First Name:SHILPA
Middle Name:S
Last Name:JHOBALIA
Suffix:
Gender:F
Credentials:LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1606 WILLOW VIEW RD
Mailing Address - Street 2:SUITE 2E
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61802-7475
Mailing Address - Country:US
Mailing Address - Phone:331-645-3465
Mailing Address - Fax:
Practice Address - Street 1:1606 WILLOW VIEW RD
Practice Address - Street 2:SUITE 2E
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61802-7475
Practice Address - Country:US
Practice Address - Phone:331-645-3465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-15
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180009867101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health