Individual provider · Type 1 NPI

Sha'juan Kennedy

Mental Health Counselor · Brookfield, WI

NPI number 1861973083 Active

Practice location

13035 W Bluemound Rd Ste 100
Brookfield, WI 53005-8001

Mailing address

401 W Michigan St Apt 412
Milwaukee, WI 53203-2815

Other practice locations

  • 2266 N Prospect Ave, Milwaukee, WI 53202-6319 · (414) 346-0276
  • 3614 W North Ave, Milwaukee, WI 53208-1416 · (414) 346-0276

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X7602125 (WI)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1861973083

Sha'juan Kennedy's National Provider Identifier is 1861973083, issued on Aug 25, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brookfield, WI. The record was last updated on Dec 12, 2019.