Individual
JACQUELYN K. LINDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2222 E 5TH ST, SUPERIOR, WI 54880-3709
(715) 392-1955
(715) 392-1935
Mailing address
2222 E 5TH ST, SUPERIOR, WI 54880-3709
(715) 392-1955
(715) 392-1935
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7940-125
WI
Other
Enumeration date
03/12/2019
Last updated
10/18/2021
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