Individual
MS. JENNIFER LYNN CHRISTESON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6944 W FOREST HOME AVE, GREENFIELD, WI 53220-2917
(262) 719-3824
(414) 321-8588
Mailing address
416 W SOUTH ST, OCONOMOWOC, WI 53066-2755
(262) 567-7673
(262) 567-3097
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2431057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39140200
—
WI
Enumeration date
10/05/2005
Last updated
07/08/2007
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