Individual
SHAWNA JOHANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
301 N ANKENY BLVD, ANKENY, IA 50023-1730
(515) 639-0643
Mailing address
301 N ANKENY BLVD, SUITE 145, ANKENY, IA 50023-1730
(515) 639-0643
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001331
IA
Other
Enumeration date
12/03/2013
Last updated
02/15/2014
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