Individual
ELIZABETH ANN JONGETJES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC-IT
Contact information
Practice address
12630 W NORTH AVE, BUILDING E, BROOKFIELD, WI 53005-4626
(262) 785-1008
(262) 432-9059
Mailing address
W6957 SAVANNAH LN, DELAVAN, WI 53115-4303
(262) 903-0924
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1929-226
WI
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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