Individual provider · Type 1 NPI

Shannon D. Fenceroy

Professional Counselor · Waukesha, WI

NPI number 1154911352 Active

Practice location

514 Riverview Ave
Waukesha, WI 53188-3631

Mailing address

5306 W Goodrich Ln
Milwaukee, WI 53223-3646

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X7924 (WI)

Professional Counselor: Definition to come...

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About NPI 1154911352

Shannon D. Fenceroy's National Provider Identifier is 1154911352, issued on Jan 21, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Waukesha, WI. The record was last updated on May 13, 2026.