Individual
MS. SHONDRA T WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3415 CUSTER ST STE D, MANITOWOC, WI 54220-4328
(920) 652-9310
(920) 652-9316
Mailing address
PO BOX 22040, GREEN BAY, WI 54305-2040
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6537-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558659755
—
WI
Enumeration date
07/21/2011
Last updated
02/08/2024
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