Provider Demographics
NPI:1194012518
Name:OHNSTAD JOHNSON, SHEILA JO (LMFT, CSAC)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:JO
Last Name:OHNSTAD JOHNSON
Suffix:
Gender:F
Credentials:LMFT, CSAC
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:JO
Other - Last Name:OHNSTAD JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 W VERONA AVE
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:WI
Mailing Address - Zip Code:53593-1394
Mailing Address - Country:US
Mailing Address - Phone:608-354-2397
Mailing Address - Fax:608-387-8365
Practice Address - Street 1:200 W VERONA AVE
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:WI
Practice Address - Zip Code:53593-1394
Practice Address - Country:US
Practice Address - Phone:608-354-2397
Practice Address - Fax:608-387-8365
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-06
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15689-131101YA0400X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)