Search › Wisconsin › 1041C0700X
Shannon Anderson
NPI 1053043398 · on the registry since 2022
Practice
- Address
- 1499 6th St
Green Bay, WI 54304 - Phone
- (920) 497-6161
- Fax
- (888) 974-5769
- Organisation at this address
- Innovative Counseling Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 88
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin