Individual
MS. JENNIFER LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LPC
Contact information
Practice address
17100 W NORTH AVE STE 100, BROOKFIELD, WI 53005-4450
(262) 786-9184
(262) 786-1906
Mailing address
17100 W NORTH AVE STE 100, BROOKFIELD, WI 53005-4450
(262) 786-9184
(262) 786-1906
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5389-125
WI
Other
Enumeration date
07/07/2011
Last updated
06/29/2023
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