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Individual
JENNIFER LEE MOTT
Active
Individual
JENNIFER LEE MOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
SAC17110-131
WI
101YM0800X
Mental Health Counselor
LPC11053-125
WI
101YP2500X
Professional Counselor
Primary
11053
WI
Other
Enumeration date
06/17/2024
Last updated
10/29/2024
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