| Shannon Lee Wyman Kenevan, | |
|
123 N Oakland Ave, Green Bay, WI 54303-2831 | |
| (920) 770-4088 | |
| (651) 705-0026 |
| Full Name | Shannon Lee Wyman Kenevan |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 123 N Oakland Ave, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194332718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2674 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Lee Wyman Kenevan, 123 N Oakland Ave, Green Bay, WI 54303-2831 Ph: (920) 770-4088 | Shannon Lee Wyman Kenevan, 123 N Oakland Ave, Green Bay, WI 54303-2831 Ph: (920) 770-4088 |
Louise Clara Daul, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 N Oakland Ave, Green Bay, WI 54303 Phone: 920-770-4088 Fax: 651-705-0026 | |
Kristin Flannery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2920 S Webster Ave, Green Bay, WI 54301 Phone: 920-639-1914 | |
Cassandra Vanstraten, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 W Mason St, Green Bay, WI 54303 Phone: 920-606-1695 | |
Mr. John Barajas, LPC-IT, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 424 S Monroe Ave Ste 201, Green Bay, WI 54301 Phone: 920-445-0170 Fax: 920-445-0174 | |
Robyn L Rickert, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 E Walnut St, Suite 406, Green Bay, WI 54301 Phone: 920-884-1187 Fax: 920-227-4100 | |
Joanne Marie Torres, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2640 West Point Road, Green Bay, WI 54304 Phone: 920-490-3790 | |
Mr. Christopher Anthony Buckman, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1499 6th St, Green Bay, WI 54304 Phone: 920-497-6161 Fax: 920-498-0476 |