Individual
JACQUELINE K BRENIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
24670 STATE ROAD 35 70, SUITE 1200, SIREN, WI 54872-4418
(715) 349-7233
(715) 349-7205
Mailing address
24670 STATE ROAD 35 70, SUITE 1200, SIREN, WI 54872-4418
(715) 349-7233
(715) 349-7205
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15434-131
WI
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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