Individual
JENNIFER ROSE MCKAY SILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
N7706 NEWVILLE RD, WATERLOO, WI 53594-9441
(920) 210-7608
Mailing address
N7706 NEWVILLE RD, WATERLOO, WI 53594-9441
(920) 210-7608
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4942-226
WI
101YP2500X
Professional Counselor
Primary
11169125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100187166
—
WI
Enumeration date
04/21/2021
Last updated
08/02/2025
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