Individual
MS. JENNIE MARIE LEPIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW,SAC-IT
Contact information
Practice address
175 E WISCONSIN AVE STE H, OCONOMOWOC, WI 53066-3057
(262) 567-4455
Mailing address
430 FIRST ST, HARTFORD, WI 53027-1204
(262) 623-1691
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18362-130
WI
1041C0700X
Clinical Social Worker
Primary
9250-123
WI
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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