Individual
MRS. JANELLE KATHLEEN HAFERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC, ICS
Contact information
Practice address
320 W GRAND AVE STE 204, WISCONSIN RAPIDS, WI 54495-2781
(715) 421-1107
(715) 421-1108
Mailing address
820 TWO MILE AVE, WISCONSIN RAPIDS, WI 54494-6661
(715) 421-1107
(715) 421-1108
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15834-132
WI
101YM0800X
Mental Health Counselor
10484-125
WI
101YP2500X
Professional Counselor
Primary
10484-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100086570
—
WI
Enumeration date
11/07/2013
Last updated
06/24/2025
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