person
Ms. Shondra T Watson, LPC
Professional Counselor in Manitowoc, Wisconsin
NPI 1558659755

Shondra T Watson is a Professional Counselor based in Green Bay, WI and is specialized in Professional. Shondra T Watson practices in Manitowoc, WI and has the professional credentials of LPC. The NPI Number for Shondra T Watson is 1558659755 and holds a License No. 6537-125 (Wisconsin).

The current practice location address for Shondra T Watson is 3415 Custer St Ste D, Manitowoc, WI and can be reached out via phone at 920-652-9310 and via fax at 920-652-9316. You can also correspond with Shondra T Watson through the mailing address at PO BOX 22040, GREEN BAY, WI - 54305-2040 (mailing address contact number: 920-445-7210).

Location: 3415 Custer St Ste D, Manitowoc, WI, 54305-2040
person
Provider Profile Details
NPI Number
1558659755
Provider Name
Shondra T Watson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3415 Custer St Ste D, Manitowoc, WI, 54305-2040
Phone Number
920-652-9310
Fax Number
920-652-9316
Provider Enumeration Date
07/21/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1558659755 05 WI
institution
Provider Business Practice Location Address Details
Address
3415 Custer St Ste D
City
State
Zip
54220-4328
Phone Number
920-652-9310
Fax Number
920-652-9316
person
Provider Business Mailing Address Details
Address
Po Box 22040
City
State
Zip
54305-2040
Phone Number
920-445-7210
Fax Number
920-445-7289
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6537-125 (Wisconsin)
Definition
Definition to come...
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