Individual
MRS. MELISSA ANN JENKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
620 S 76TH ST, SUITE 120, MILWAUKEE, WI 53214-1599
(414) 453-1400
(414) 453-2538
Mailing address
620 S 76TH ST, SUITE 120, MILWAUKEE, WI 53214-1599
(414) 453-1400
(414) 453-2538
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4554-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316229636
—
WI
Enumeration date
09/13/2011
Last updated
01/12/2015
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