Individual
JENA VONFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
515 E MAIN ST, WEYAUWEGA, WI 54983-9039
(406) 212-3293
Mailing address
515 E MAIN ST, WEYAUWEGA, WI 54983-9039
(406) 212-3293
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
11652-123
WI
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-55436
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026117
—
WA
Enumeration date
06/03/2019
Last updated
03/24/2025
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