Individual
JENNIFER PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMHC
Contact information
Practice address
811 E WASHINGTON AVE # 401, MADISON, WI 53703-3688
(608) 616-9636
Mailing address
811 E WASHINGTON AVE # 401, MADISON, WI 53703-3688
(608) 616-9636
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8430-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100181550
—
WI
Enumeration date
03/26/2019
Last updated
01/09/2026
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