Organization
WELLNESS WEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER VANN PSYD (OWNER/PSYCHOLOGIST)
(262) 259-4100
Entity
Organization
Contact information
Practice address
2428 N GRANDVIEW BLVD STE 101, WAUKESHA, WI 53188-6906
(262) 259-4100
Mailing address
2428 N GRANDVIEW BLVD STE 101, WAUKESHA, WI 53188-6906
(262) 259-4100
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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