Individual
MS. JENNIFER LEE HOFMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CSAC, ICS
Contact information
Practice address
524 MAIN ST, RACINE, WI 53403-1032
(262) 632-1780
(262) 632-0895
Mailing address
524 MAIN ST, RACINE, WI 53403-1032
(262) 632-1780
(262) 632-0895
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15284-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
15373-135
WI
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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