Individual
SHANA WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 GEORGIA ST, MERRILLVILLE, IN 46410-6227
(219) 791-1400
(219) 791-1422
Mailing address
1441 E 84TH PL, MERRILLVILLE, IN 46410-6578
(219) 794-2000
(219) 794-2010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/28/2015
Last updated
10/14/2020
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