Individual
JENNIFER BANKS ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
5910 39TH AVE, KENOSHA, WI 53144-2738
(262) 447-8999
Mailing address
5910 39TH AVE, KENOSHA, WI 53144-2738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8779226
WI
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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