Individual
JEREMY MOHELNITZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CRC
Contact information
Practice address
5000 W NATIONAL AVE BLDG 7, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
221 E OREGON ST APT 310, MILWAUKEE, WI 53204-2466
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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