Individual
TEENA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, LPC, MAC
Contact information
Practice address
303 W COURT ST, JANESVILLE, WI 53548-3811
(843) 601-2496
Mailing address
406 BETZER RD APT 7, DELAVAN, WI 53115-4301
(843) 601-2496
(608) 741-5219
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1105271
SC
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/29/2013
Last updated
04/24/2018
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