Individual
JILL MARIE REIFSNIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
199 COUNTY ROAD DF, JUNEAU, WI 53039-9512
(920) 386-3490
Mailing address
1515 RADHIKA ST, FORT ATKINSON, WI 53538-3124
(920) 210-1774
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16935
WI
101YM0800X
Mental Health Counselor
Primary
1964
WI
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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