Individual
JENNA DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 N PINE ST, BURLINGTON, WI 53105-1492
(414) 666-4211
Mailing address
950 W MONROE ST UNIT 414, CHICAGO, IL 60607-2981
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8146226
WI
Other
Enumeration date
09/27/2025
Last updated
09/27/2025
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