Individual
SHA'JUAN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13035 W BLUEMOUND RD STE 100, BROOKFIELD, WI 53005-8001
(262) 408-1125
Mailing address
401 W MICHIGAN ST APT 412, MILWAUKEE, WI 53203-2815
(414) 399-8736
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
7602125
WI
Other
Enumeration date
08/25/2018
Last updated
12/12/2019
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