Individual
PAULA JAKUBOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3425 SUPERIOR AVE, SHEBOYGAN, WI 53081-1863
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17966-130
WI
101YM0800X
Mental Health Counselor
Primary
5922-125
WI
101YP2500X
Professional Counselor
5922-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100077025
—
WI
Enumeration date
10/17/2016
Last updated
03/14/2024
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