Individual
JEANINE RAE RYSEWYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAC LPC
Contact information
Practice address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 720-2300
Mailing address
913 E FRANCES ST, APPLETON, WI 54911-3132
(920) 830-4052
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7616-125
WI
Other
Enumeration date
12/12/2019
Last updated
04/23/2025
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