Individual
SHAUN SHAMBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, SAC-IT
Contact information
Practice address
4810 S 76TH ST STE 204, GREENFIELD, WI 53220-4356
(262) 373-8035
Mailing address
11100 W JANESVILLE RD UNIT 103, HALES CORNERS, WI 53130-2532
(414) 588-0987
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19764-130
WI
101YP2500X
Professional Counselor
Primary
5334-226
WI
Other
Enumeration date
06/14/2023
Last updated
03/03/2025
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