Individual
JEREMY SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-IT
Contact information
Practice address
6520 67TH ST, KENOSHA, WI 53142-1403
(630) 751-9606
Mailing address
6520 67TH ST, KENOSHA, WI 53142-1403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4806-226
WI
Other
Enumeration date
07/01/2020
Last updated
04/02/2021
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