Individual
JENNIFER AMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15919
WI
101YP2500X
Professional Counselor
Primary
6762
WI
Other
Enumeration date
02/15/2010
Last updated
11/11/2019
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