Individual
JENI LYN GRONEMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2925 MONDOVI RD, EAU CLAIRE, WI 54701-6141
(715) 832-0238
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3745-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110678
SECURITY HEALTH PLAN INS.
WI
01
—
3745-125
LPC LICENSE
WI
05
—
43593300
—
WI
Enumeration date
11/14/2006
Last updated
09/13/2016
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