Individual
JACLYN NIKOLE VOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCP, LPC
Contact information
Practice address
2209 EASTERN AVE, PLYMOUTH, WI 53073-4281
(920) 449-4247
Mailing address
2209 EASTERN AVE, PLYMOUTH, WI 53073-4281
(141) 432-2205
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11107-125
WI
101YP2500X
Professional Counselor
7082-226
WI
Other
Enumeration date
04/05/2023
Last updated
06/14/2024
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