Individual
SHANNA LEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2409 CENTRAL AVE, APT. 208, WILDWOOD, NJ 08260-5232
(814) 504-3514
Mailing address
PO BOX 2646, WILDWOOD, NJ 08260-8646
(814) 504-3514
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37PC00448800
NJ
101YP2500X
Professional Counselor
Primary
37PC00448800
NJ
106H00000X
Marriage & Family Therapist
37PC00448800
NJ
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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