Individual
MRS. JENNIFER E WANGERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
25 KESSEL CT STE 105, MADISON, WI 53711-6227
(608) 280-2700
(608) 280-2707
Mailing address
49 KESSEL COURT, MADISON, WI 53711-6275
(608) 280-2675
(608) 280-2707
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5421-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306076096
NPI
WI
Enumeration date
07/16/2009
Last updated
09/08/2016
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