Individual
SHANNON MEEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LPC
Contact information
Practice address
3860 MONROE RD, DE PERE, WI 54115-8399
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11562-125
WI
101YP2500X
Professional Counselor
7526-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100298304
—
WI
Enumeration date
11/12/2024
Last updated
02/05/2025
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