Individual
JOELY VANLAARHOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
2108 63RD ST, KENOSHA, WI 53143-4454
(414) 475-2788
Mailing address
6233 39TH AVE, KENOSHA, WI 53142-7015
(262) 652-1004
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7553-226
WI
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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