Individual
DR. PATRICIA L. JINDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6530 SHERIDAN RD, SUITE 7, KENOSHA, WI 53143-5063
(262) 857-8707
(262) 862-7703
Mailing address
6530 SHERIDAN RD, SUITE 7, KENOSHA, WI 53143-5063
(262) 857-8707
(262) 862-7703
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3493-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43706600
WISCONSIN MEDICAID
WI
Enumeration date
03/19/2007
Last updated
09/26/2011
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