Individual
JACQUELYN VAN LAARHOVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, SAC-IT
Contact information
Practice address
6304 KELLY PL, WESTON, WI 54476-4397
(715) 571-0649
(715) 679-3080
Mailing address
6304 KELLY PL, WESTON, WI 54476-4397
(715) 571-0649
(715) 679-3080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8364125
WI
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
8364125
WI
Other
Enumeration date
06/18/2019
Last updated
09/30/2025
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