Individual
JENNA OVERBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
741 N GRAND AVE STE 302, WAUKESHA, WI 53186-4841
(262) 789-1191
Mailing address
71 HAPPY HOLLOW LN, OCONOMOWOC, WI 53066-5701
(724) 674-1629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6334-125
WI
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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