Organization
JENNIFER G OBRIEN, LPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GRIMES OBRIEN LPC (OWNER)
(414) 239-0363
Entity
Organization
Contact information
Practice address
8989 N PORT WASHINGTON RD STE 211, BAYSIDE, WI 53217-1633
(414) 207-4633
Mailing address
7424 N LONGACRE RD, FOX POINT, WI 53217-3504
(414) 239-0363
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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