Individual
MRS. SHANNON ALISON HARTMAN-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT,
Contact information
Practice address
5410 EAST 30A, SUITE 212, SANTA ROSA BEACH, FL 32459
(850) 607-9108
Mailing address
29 CAMP SHOAL DR, SANTA ROSA BEACH, FL 32459-0642
(850) 608-9108
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
39135
CA
106H00000X
Marriage & Family Therapist
Primary
963
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135JJ
BLUECROSS BLUESHIELD
NC
Enumeration date
06/15/2006
Last updated
10/14/2025
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