Search › Virginia › Mental Health Counselor
Shannon Wise, MM, MS
NPI 1942040506 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3925 Blenheim Blvd Ste 52b
Fairfax, VA 22030 - Phone
- (571) 418-1714
- Organisation at this address
- Privia Medical Group, Llc
Mantra Mental Health Pllc
Privia Medical Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 4094 Majestic Ln # 237, Fairfax, VA
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-30
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 Virginia