SHA'JUAN KENNEDY NPI 1861973083

NPI Information

NPI: 1861973083
Provider Name: SHA'JUAN KENNEDY
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
13035 W BLUEMOUND RD STE 100
BROOKFIELD, WI
ZIP 53005
Phone: (262) 408-1125
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Sha'juan Kennedy is a mental health counselor in Brookfield, WI. Sha'juan Kennedy NPI is 1861973083. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13035 W BLUEMOUND RD STE 100
BROOKFIELD, WI
ZIP 53005-001
Phone: (262) 408-1125

The enumeration date for this NPI number is 8/25/2018 and was last updated on 12/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes
2	101YP2500X	Counselor	Professional	7602125	WISCONSIN	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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