Provider Demographics
NPI:1487015152
Name:KRIENITZ, SHAWNA (LPC, ATR, CEDS)
Entity type:Individual
Prefix:
First Name:SHAWNA
Middle Name:
Last Name:KRIENITZ
Suffix:
Gender:F
Credentials:LPC, ATR, CEDS
Other - Prefix:
Other - First Name:SHAWNA
Other - Middle Name:
Other - Last Name:DORIOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:245 N METRO DR
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54913-8572
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3416 N ASSOCIATION DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54914-1479
Practice Address - Country:US
Practice Address - Phone:920-364-9078
Practice Address - Fax:920-243-1972
Is Sole Proprietor?:No
Enumeration Date:2016-03-09
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5873-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health