Individual provider · Type 1 NPI

Shannon Marie Kroenke, MSW, LCSW, MT-BC

Mental Health Counselor · Vancouver, WA

NPI number 1407109408 Active

Practice location

101 E 8th St Ste 110
Vancouver, WA 98660-3294

Call (360) 524-2126 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLW60887254 (WA)
Military Health Care Provider 171000000XLW60887254 (WA)
Mental Health Counselor Primary 101YM0800XLW60887254 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1407109408

Shannon Marie Kroenke, MSW, LCSW, MT-BC's National Provider Identifier is 1407109408, issued on Oct 16, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on May 14, 2025.