Individual
JENNIFER W KWAPIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, SAC IT
Contact information
Practice address
1315 W MAIN ST, WATERTOWN, WI 53094-3564
(920) 261-4100
Mailing address
1121 BAYBERRY DR, WATERTOWN, WI 53098-3220
(920) 248-6845
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18432-130
WI
101YP2500X
Professional Counselor
Primary
7042-125
WI
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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