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Audreanna Shalise Shannon
Counselor in Detroit, Michigan
NPI 1225676596

Audreanna Shalise Shannon is a Counselor based in Detroit, MI. Audreanna Shalise Shannon practices in Detroit, MI. The NPI Number for Audreanna Shalise Shannon is 1225676596 and holds a License No. (Michigan).

The current practice location address for Audreanna Shalise Shannon is 707 W Milwaukee St, Detroit, MI and can be reached out via phone at 313-422-5549. You can also correspond with Audreanna Shalise Shannon through the mailing address at 707 W MILWAUKEE ST, DETROIT, MI - 48202-2943 (mailing address contact number: 313-422-5549).

Location: 707 W Milwaukee St, Detroit, MI, 48202-2943
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225676596
Provider Name
Audreanna Shalise Shannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
707 W Milwaukee St, Detroit, MI, 48202-2943
Phone Number
313-422-5549
Fax Number
Provider Enumeration Date
12/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
707 W Milwaukee St
City
Detroit
State
Michigan
Zip
48202-2943
Phone Number
313-422-5549
Fax Number
person
Provider Business Mailing Address Details
Address
707 W Milwaukee St
City
Detroit
State
Michigan
Zip
48202-2943
Phone Number
313-422-5549
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6401018399 (Michigan)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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