Individual provider · Type 1 NPI

Shannon Emmanuel Johnson, PSYCHOTHERAPIST

Mental Health Counselor · Milwaukee, WI

NPI number 1902431935 Active

Practice location

4001 W Capitol Dr
Milwaukee, WI 53216-2530

Fax (866) 719-3024

Other practice locations

  • 400 W Capitol Dr, Milwaukee, WI 53216 · (414) 455-3879

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X130697-121 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1902431935

Shannon Emmanuel Johnson, PSYCHOTHERAPIST's National Provider Identifier is 1902431935, issued on Mar 10, 2020. 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 10, 2020.