Individual
MRS. MEGHAN LEA SHADICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CRC, LPC-IT
Contact information
Practice address
18266 COUNTY HIGHWAY Q, BLOOMER, WI 54724-3826
(715) 933-0297
Mailing address
18266 COUNTY HIGHWAY Q, BLOOMER, WI 54724-3826
(715) 933-0297
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
WI
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/21/2008
Last updated
01/22/2015
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