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Individual

SHANE A SCHUHMACHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, CSAC

Contact information

Practice address
627 MAIN ST, DARLINGTON, WI 53530-1395
(608) 776-4800
(608) 776-4914
Mailing address
15701 COUNTY ROAD K, DARLINGTON, WI 53530-9210
(608) 776-4800

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
16503-132
WI
101YM0800X
Mental Health Counselor
Primary
7242-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1548512759
WI
Enumeration date
10/11/2012
Last updated
07/20/2021
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