Individual
EMILY JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
199 COUNTY ROAD DF, JUNEAU, WI 53039-9512
(920) 386-3807
Mailing address
199 COUNTY ROAD DF, JUNEAU, WI 53039-9512
(920) 386-4094
(920) 386-3812
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16318
WI
104100000X
Social Worker
128617
WI
1041C0700X
Clinical Social Worker
Primary
9340
WI
Other
Enumeration date
07/22/2016
Last updated
01/29/2020
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