Individual
SHANNON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT-IT, MSED
Contact information
Practice address
3233A BUSINESS PARK DR STE 302, STEVENS POINT, WI 54482-8861
(800) 681-2374
Mailing address
3233A BUSINESS PARK DR STE 302, STEVENS POINT, WI 54482-8861
(800) 681-2374
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1195-228
WI
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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