Individual
SHARON JOHNSON-VISOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LPC, CSAC, ICS
Contact information
Practice address
6939 MARINER DR STE C, RACINE, WI 53406-4090
(262) 886-8702
(262) 886-8714
Mailing address
6939 MARINER DR STE C, RACINE, WI 53406-4090
(262) 886-8702
(262) 886-8714
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1035-132
WI
101YP2500X
Professional Counselor
369-125
WI
1041C0700X
Clinical Social Worker
Primary
2254-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336264829
—
WI
Enumeration date
06/23/2010
Last updated
06/23/2010
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