Individual
SHAWNEEN RISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
2640 W POINT RD, GREEN BAY, WI 54304-1344
(920) 490-3790
Mailing address
PO BOX 365, ONEIDA, WI 54155-0365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17276-132
WI
101YP2500X
Professional Counselor
8254-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42030700
—
WI
Enumeration date
06/08/2021
Last updated
09/16/2025
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