Individual
MOLLY JELAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
905 E BAY POINT RD, BAYSIDE, WI 53217-1355
(414) 640-3475
Mailing address
905 E BAY POINT RD, BAYSIDE, WI 53217-1355
(414) 640-3475
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7072-125
WI
Other
Enumeration date
03/09/2019
Last updated
03/09/2019
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