| Doctor Name: | SHANNON YANG |
| NPI Number: | 1225184757 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSE LPC CADCD |
| License Number: | 5264 |
| Business Practice Address: | 1810 Appleton Road Menasha, WI - 54952 |
| Business Phone Number: | 9207394226 |
| Business Fax Number: | 9207397639 |
| Mailing Address: | 1810 Appleton Road, MENASHA |
| State: | WI |
| Postal Code: | 54952 |
| Phone Number: | 9207394226 |
| Fax Number: | 9207397639 |
| NPI Enumeration Date: | 01/26/2007 |
| NPI Last Update Date: | 06/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 5264 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |