Individual
MS. SHANNON LEAH HOPGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC, LPC-IT
Contact information
Practice address
2625 N. WEIL STREET, MILWAUKEE, WI 53212
(414) 962-1200
(414) 962-2305
Mailing address
2625 N. WEIL STREET, MILWAUKEE, WI 53212
(414) 962-1200
(414) 962-2305
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15575-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
212-226
WI
Other
Enumeration date
07/12/2012
Last updated
08/19/2014
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