SHANNON M WISE

FAIRFAX, VA
NPI1942040506
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: VA  0704016928)
Enumeration Date2024-05-30
Last Update Date2024-05-30
Business Address
SHANNON M WISE MM, MS
3925 BLENHEIM BLVD STE 52B
FAIRFAX, VA 22030-2426
Phone number: 571-418-1714
Mailing Address
SHANNON M WISE MM, MS
1295 MASON MILL CT
HERNDON, VA 20170-5740
Phone number: 703-577-3005
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