Individual
SUSAN SHANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1209 17TH AVE, MONROE, WI 53566-2050
(608) 426-6463
(608) 631-3009
Mailing address
1209 17TH AVE, MONROE, WI 53566-2050
(608) 426-6463
(608) 426-6349
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180010588
IL
101YP2500X
Professional Counselor
Primary
—
WI
Other
Enumeration date
11/11/2016
Last updated
05/02/2023
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