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Organization
COUNTY OF GREEN LAKE
Active
Organization
COUNTY OF GREEN LAKE
Active
Other names
Green Lake County DHHS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON N. JEROME (DIRECTOR)
(920) 294-4070
Entity
Organization
Contact information
Practice address
571 COUNTY ROAD A, GREEN LAKE, WI 54941
(920) 294-4070
(920) 294-4139
Mailing address
571 COUNTY ROAD A, GREEN LAKE, WI 54941-8630
(920) 294-4070
(920) 294-4139
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42139800
—
WI
Enumeration date
12/17/2007
Last updated
07/03/2018
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