Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannan Marie Kooistra, LLBSW

Individual provider Professional Counselor · NPI 1780156919

Shannan Marie Kooistra, LLBSW is a Professional Counselor in Stanton, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

611 N State St
Stanton, MI 48888-9702
Phone: (989) 831-7520
Fax: (989) 831-7578
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6852093394 (MI)
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1780156919
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLBSW
Sole proprietorNo
NPI enumeratedDecember 28, 2018
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024

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