Individual provider · Type 1 NPI

Shannon Lee Wyman Kenevan

Professional Counselor · Green Bay, WI

NPI number 1194332718 Active

Practice location

123 N Oakland Ave
Green Bay, WI 54303-2831

Call (920) 770-4088 Map

Fax (651) 705-0026

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2674 (WI)

Professional Counselor: Definition to come...

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About NPI 1194332718

Shannon Lee Wyman Kenevan's National Provider Identifier is 1194332718, issued on Sep 28, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Green Bay, WI. The record was last updated on Sep 28, 2020.