| Shannon M Wise, MM, MS | |
|
3925 Blenheim Blvd Ste 52b, Fairfax, VA 22030-2426 | |
| (571) 418-1714 | |
| Not Available |
| Full Name | Shannon M Wise |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 3925 Blenheim Blvd Ste 52b, Fairfax, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942040506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0704016928 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon M Wise, MM, MS 1295 Mason Mill Ct, Herndon, VA 20170-5740 Ph: (703) 577-3005 | Shannon M Wise, MM, MS 3925 Blenheim Blvd Ste 52b, Fairfax, VA 22030-2426 Ph: (571) 418-1714 |
Ms. Saundra Kay Ladd, LPC, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 10195 Main St, Suite N, Fairfax, VA 22031 Phone: 703-591-9600 | |
Erika Lanette Portillo, M.ED, LMHP-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 3541 Chain Bridge Rd Ste 204, Fairfax, VA 22030 Phone: 703-218-6599 Fax: 703-218-2012 | |
Zaria Hardy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3930 Walnut St Ste 250, Fairfax, VA 22030 Phone: 703-782-3710 | |
Laura Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13130 Maltese Ln, Fairfax, VA 22033 Phone: 571-317-1597 | |
Autumn Mcdonald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3915 Old Lee Hwy Ste 23a, Fairfax, VA 22030 Phone: 757-942-5140 | |
Margaret Maxwell, RESIDENT COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 9677 Main St # A-b, Fairfax, VA 22031 Phone: 202-964-1209 | |
Kelly Bauer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11200 Waples Mill Rd, Suite 180, Fairfax, VA 22030 Phone: 703-383-8333 Fax: 703-383-3183 |