Individual provider · Type 1 NPI

Shawon Martin

Mental Health Counselor · Milwaukee, WI

NPI number 1417759358 Active

Practice location

2266 N Prospect Ave Ste 304
Milwaukee, WI 53202-6306

Call (414) 405-0670 Map

Mailing address

2022 E Edgewood Ave
Shorewood, WI 53211-2935

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X8196-226 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1417759358

Shawon Martin's National Provider Identifier is 1417759358, issued on Mar 24, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Milwaukee, WI. The record was last updated on Mar 24, 2025.