Individual
JAIMIE JO ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 3RD ST S, WISCONSIN RAPIDS, WI 54494-4350
(715) 712-1370
Mailing address
242 JOYCE ST, WAUSAU, WI 54401-6165
(715) 370-0079
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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