Individual
JADE ELIZABETH FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4811 S 76 STREET, #305, GREENFIELD, WI 53220-4364
(262) 475-5684
(414) 325-7753
Mailing address
12581 DUNCAN LN UNIT 103, NEW BERLIN, WI 53151-8796
(608) 772-9895
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12231-125
WI
Other
Enumeration date
06/03/2024
Last updated
12/11/2025
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