Yang, Shannon

Yang, Shannon is an individual health care provider with primary practice located at 1810 Appleton Road , Menasha WI 54952. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Yang, Shannon can be contacted via phone (920) 739-4226.

Contact Information

Primary practice address
1810 Appleton Road Menasha WI 54952
Phone: (920) 739-4226
Fax: (920) 739-7639
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 5264 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 3518125 Wisconsin

Profile Details

NPI number 1225184757
LBN Legal business name Yang, Shannon
Credentials MSE LPC CADCD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jun 4th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225184757 NPPES
Wisconsin MEDICAID 41008200

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