Individual
KERRY SHEAHAN CHRISTOPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1011 N MAYFAIR RD, 304, WAUWATOSA, WI 53226-3431
(414) 453-8380
(414) 443-1635
Mailing address
1011 N MAYFAIR RD, 304, WAUWATOSA, WI 53226-3431
(414) 453-8380
(414) 443-1635
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2959-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43566200
—
WI
Enumeration date
01/23/2007
Last updated
07/08/2007
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