Individual
COLLEEN L JAREMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 PRAIRIE AVE, PRAIRIE DU SAC, WI 53578-1541
(608) 643-3147
(608) 643-3178
Mailing address
PO BOX 301, PORTAGE, WI 53901-0301
(608) 742-5518
(608) 742-4087
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4944
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245894765
—
WI
Enumeration date
04/30/2019
Last updated
09/08/2021
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