Audreanna Shalise Shannon
Audreanna Shalise Shannon is a Counselor in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2019.
- Licensed in
- MI
- In the registry since
- 2019
- Specialties on file
- 3
Practice location Address checks out
707 W Milwaukee StDetroit, MI 48202-2943
Phone: (313) 422-5549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X (MI) |
|---|---|
| Counselor | Taxonomy 101Y00000X |
| Professional Counselor | Taxonomy 101YP2500X · Licence 6401018399 (MI) |
Record details
| NPI number | 1225676596 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 17, 2019 |
| Last updated in NPPES | January 19, 2024 |
| Certification date | January 19, 2024 |
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