Individual
JENNIFER SCHOENBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 VALLEY AVE, WEST BEND, WI 53095-5312
(414) 454-6779
Mailing address
205 VALLEY AVE, WEST BEND, WI 53095-5312
(414) 454-6779
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5691
WI
101YP2500X
Professional Counselor
5691
WI
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43717900
—
WI
Enumeration date
04/16/2008
Last updated
07/30/2024
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