CRAIG O SHANKS LPC
NPI 1659743136
Counselor - Mental Health in Bayfield, WI
Active since October 23, 2015
About Craig O Shanks Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRAIG O SHANKS LPC (NPI 1659743136) is an individual mental health provider in Bayfield, Wisconsin, licensed in Wisconsin (5425-125) and active in the NPI registry since October 2015.
NPPES Registry Identity
NPI1659743136
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCRAIG O SHANKSCredential: LPC
Location Address36745 AIKEN RDBayfield, WI 54814-4579
Mailing Address618 E Bayfield StWashburn, WI 54891-4408 · (715) 779-3707 · Fax (715) 799-3362
Phone(715) 779-3707
Fax(715) 779-3362
Sole ProprietorYes
Enumeration DateOctober 23, 2015
✔ NPI 1659743136 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 5425-125
36745 AIKEN RD, Bayfield, WI 54814
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
36745 AIKEN RD
BAYFIELD, WI 54814
BAYFIELD, WI 54814
Counselor (Addiction (Substance Use Disorder))
36745 AIKEN RD
BAYFIELD, WI 54814
BAYFIELD, WI 54814
Clinic/Center (Federally Qualified Health Center (FQHC))
36745 AIKEN RD
BAYFIELD, WI 54814
BAYFIELD, WI 54814
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659743136, enumerated as an "individual" on October 23, 2015.
The provider is located at 36745 AIKEN RD BAYFIELD, WI 54814 and the phone number is (715) 779-3707.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
