Individual
SHANNON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
1551 STURDY RD STE 3, VALPARAISO, IN 46383-7829
(219) 531-0111
(219) 224-4133
Mailing address
1551 STURDY RD STE 3, VALPARAISO, IN 46383-7829
(219) 531-0111
(219) 224-4133
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
35001765A
IN
106H00000X
Marriage & Family Therapist
Primary
35001765A
IN
106H00000X
Marriage & Family Therapist
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Other
Enumeration date
08/02/2012
Last updated
09/20/2021
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