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Individual

MS. JENNIFER LYNN WENDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-8717
(920) 674-2359
Mailing address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-8717
(920) 674-2359

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4064-125
WI
101YP2500X
Professional Counselor
Primary
LPC4064-125
WI

Other

Enumeration date
07/20/2009
Last updated
08/28/2013
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