Individual
JENNIFER L CHELLEVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
17 S RIVER ST, 254, JANESVILLE, WI 53548-3860
(608) 755-5260
(608) 755-5267
Mailing address
17 S RIVER ST, 254, JANESVILLE, WI 53548-3860
(608) 755-5260
(608) 755-5267
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
637-226
WI
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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