Individual provider · Type 1 NPI
Shannon S. Wysinger, LPC
Counselor · Grand Blanc, MI
NPI number
1144472341
Active
Practice location
5360 Moceri Ln
Grand Blanc, MI 48439-4365
Mailing address
5360 Moceri Lane
Grand Blanc, MI 48439-4365
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401011056 (MI) |
| Counselor Primary | 101Y00000X | 6401011056 (MI) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1144472341
Shannon S. Wysinger, LPC's National Provider Identifier is 1144472341, issued on Oct 21, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Grand Blanc, MI. The record was last updated on Oct 4, 2018.