Individual provider · Type 1 NPI
Shannon Brooke Wisener
Mental Health Counselor · East Falmouth, MA
NPI number
1952957342
Active
Practice location
39 Marla Ln
East Falmouth, MA 02536-5057
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1952957342
Shannon Brooke Wisener's National Provider Identifier is 1952957342, issued on Aug 13, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in East Falmouth, MA. The record was last updated on Aug 13, 2019.