Individual
JENNIFER KAYE WITTENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1840 EVANS ST, OSHKOSH, WI 54901
(920) 509-1856
Mailing address
1241 KENTUCKY ST, OSHKOSH, WI 54901-3753
(715) 614-0769
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6701-125
WI
Other
Enumeration date
03/05/2018
Last updated
10/24/2023
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