Individual
JANE A FAACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2925 MONDOVI RD, EAU CLAIRE, WI 54701-6141
(715) 832-0238
(715) 832-0771
Mailing address
2925 MONDOVI RD, EAU CLAIRE, WI 54701-6141
(715) 832-0238
(715) 832-0771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2619-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40971600
—
WI
Enumeration date
11/09/2006
Last updated
07/10/2024
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