Individual
JAKOB JERIMIAH REGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PC-IT
Contact information
Practice address
110 N MAIN ST, POYNETTE, WI 53955-9329
(608) 879-6135
(608) 305-8896
Mailing address
110 N MAIN ST, POYNETTE, WI 53955-9329
(608) 879-6135
(608) 305-8896
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8508-226
WI
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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