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

Shannon Lee Wyman Kenevan

Individual provider Professional Counselor · NPI 1194332718

Shannon Lee Wyman Kenevan is a Professional Counselor in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2020
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Practice location Address checks out

123 N Oakland Ave
Green Bay, WI 54303-2831
Phone: (920) 770-4088
Fax: (651) 705-0026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2674 (WI)

Record details

NPI number1194332718
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 28, 2020
Last updated in NPPESSeptember 28, 2020
Certification dateSeptember 28, 2020

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