Individual
MRS. ASHLEY VIRGINIA ANN JAKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, SAC-IT
Contact information
Practice address
N6520 LUMBERJACK GUY RD, BLACK RIVER FALLS, WI 54615-5405
(715) 284-9851
(715) 284-3434
Mailing address
N6520 LUMBERJACK GUY RD, BLACK RIVER FALLS, WI 54615-5405
(715) 284-9851
(715) 284-5150
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18634
WI
1041C0700X
Clinical Social Worker
Primary
9110
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100060771
—
WI
Enumeration date
09/02/2016
Last updated
02/01/2022
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