Individual
JAYNE E ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
648 E DOVER ST, MILWAUKEE, WI 53207-2108
(800) 438-1772
(262) 345-5562
Mailing address
W175N11120 STONEWOOD DR, GERMANTOWN, WI 53022-4799
(262) 345-5533
(262) 293-9737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4514-226
WI
101YP2500X
Professional Counselor
Primary
8193-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095022
—
WI
Enumeration date
06/04/2019
Last updated
04/29/2021
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