Individual
MS. JENNIFER JEANETTE RODEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4131 W LOOMIS RD STE 120, GREENFIELD, WI 53221-2057
(414) 424-2445
(414) 424-2446
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4858-226
WI
101YP2500X
Professional Counselor
10066-125
WI
Other
Enumeration date
01/25/2021
Last updated
08/03/2023
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