Mr. Shannon Emmanuel Johnson, PSYCHOTHERAPIST
Mr. Shannon Emmanuel Johnson, PSYCHOTHERAPIST is a Mental Health Counselor in Milwaukee, Wisconsin. Practices as a sole proprietor and works from 2 locations. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2020
Practice location Address checks out
4001 W Capitol DrMilwaukee, WI 53216-2530
Phone: (414) 455-3879
Fax: (866) 719-3024
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 400 W Capitol Dr, Milwaukee, WI 53216 — (414) 455-3879
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 130697-121 (WI) |
|---|
Record details
| NPI number | 1902431935 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PSYCHOTHERAPIST |
| Sole proprietor | Yes |
| NPI enumerated | March 10, 2020 |
| Last updated in NPPES | March 10, 2020 |
| Certification date | March 10, 2020 |
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