Individual
JENNA MOHELNITZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3900 W BROWN DEER RD STE 200, BROWN DEER, WI 53209-1220
(414) 540-2170
Mailing address
3900 W BROWN DEER RD STE 200, BROWN DEER, WI 53209-1220
(414) 540-2170
(414) 540-2171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16597
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
18605-130
WI
1041C0700X
Clinical Social Worker
Primary
11069
WI
Other
Enumeration date
12/17/2018
Last updated
01/11/2023
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