Individual
JEANNINE KENEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COMS, LPC
Contact information
Practice address
820 W COLLEGE AVE, SUITE 3, APPLETON, WI 54914-5286
(920) 831-2090
(920) 831-2091
Mailing address
820 W COLLEGE AVE, SUITE 3, APPLETON, WI 54914-5286
(920) 831-2090
(920) 831-2091
Taxonomy
Speciality
Code
Description
License number
State
2255R0406X
Blind Rehabilitation Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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