Individual
MS. JANE ELIZABETH WISNESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
821 E 1ST AVE, SUITE 5, APPLETON, WI 54911-1586
(920) 364-9655
(920) 364-9655
Mailing address
821 E 1ST AVE, SUITE 5, APPLETON, WI 54911-1586
(920) 364-9655
(920) 364-9655
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4615-125
WI
Other
Enumeration date
07/02/2009
Last updated
10/29/2012
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