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

Shannon Marie Wiseman

Individual provider Mental Health Counselor · NPI 1164696597

Shannon Marie Wiseman is a Mental Health Counselor in Santa Rosa, California. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

3164 Condo Ct
Santa Rosa, CA 95403-2557
Phone: (707) 523-2334
Fax: (707) 360-1540
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1164696597
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 16, 2008
Last updated in NPPESSeptember 1, 2009

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