Individual
JENI NESTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC; LPC-IT
Contact information
Practice address
6502 GRAND TETON PLZ STE 102, MADISON, WI 53719-1047
(608) 827-7220
Mailing address
616 ASPEN AVE, VERONA, WI 53593-1667
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10130-125
WI
101YM0800X
Mental Health Counselor
4889-226
WI
Other
Enumeration date
08/27/2019
Last updated
11/19/2022
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