Individual
JENNIFER R WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11121 W OKLAHOMA AVE, WEST ALLIS, WI 53227-4033
(262) 641-9790
Mailing address
11121 W OKLAHOMA AVE, WEST ALLIS, WI 53227-4033
(715) 697-9828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3957-226
WI
101YM0800X
Mental Health Counselor
7716-125
WI
101YP2500X
Professional Counselor
Primary
7716-125
WI
Other
Enumeration date
03/08/2019
Last updated
10/14/2021
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