Individual
MRS. JENNIFER ANN KALISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
805 N 6TH ST, SHEBOYGAN, WI 53081-4113
(920) 457-8866
Mailing address
1338 WESTWOOD LN, MANITOWOC, WI 54220-1602
(920) 242-0520
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11026
WI
101YP2500X
Professional Counselor
7194-226
WI
Other
Enumeration date
12/08/2022
Last updated
07/10/2024
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