Individual
MS. JAYMIE WATERHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
105 WEST AVE, RICE LAKE, WI 54868-1362
(715) 736-5437
(715) 736-5438
Mailing address
2925 MONDOVI RD, EAU CLAIRE, WI 54701-6141
(715) 832-0238
(715) 832-0771
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5686-125
WI
Other
Enumeration date
03/26/2013
Last updated
11/10/2015
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