Individual provider · Type 1 NPI

Craig O. Shanks, LPC

Mental Health Counselor · Bayfield, WI

NPI number 1659743136 Active

Practice location

36745 Aiken Rd
Bayfield, WI 54814-4579

Call (715) 779-3707 Map

Fax (715) 779-3362

Mailing address

618 E Bayfield St
Washburn, WI 54891-4408

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5425-125 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1659743136

Craig O. Shanks, LPC's National Provider Identifier is 1659743136, issued on Oct 23, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bayfield, WI. The record was last updated on Oct 23, 2015.