Individual
SHANNON JUNIPER NEIMEKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
568 GRAND CANYON DR, MADISON, WI 53719-1033
(608) 628-1550
Mailing address
431 CANTWELL CT # 1, MADISON, WI 53703-3708
(608) 628-1550
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5517-125
WI
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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