Individual
SHAWANA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC, LPC-IT
Contact information
Practice address
11390 W THEODORE TRECKER WAY, WEST ALLIS, WI 53214-1135
(414) 928-1401
(414) 928-1402
Mailing address
11390 W THEODORE TRECKER WAY, WEST ALLIS, WI 53214-1135
(414) 928-1401
(414) 928-1402
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15891-130
WI
101YP2500X
Professional Counselor
1493
WI
Other
Enumeration date
11/22/2011
Last updated
11/27/2023
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