Organization
COUNTY OF GREEN LAKE
Active
Other names
Green Lake County DHHS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON N. JEROME (DIRECTOR)
(920) 294-4070
Entity
Organization
Contact information
Practice address
571 COUNTY ROAD A, GREEN LAKE, WI 54941
(920) 294-4070
(920) 294-4139
Mailing address
571 COUNTY ROAD A, GREEN LAKE, WI 54941-8630
(920) 294-4070
(920) 294-4139
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42139800
—
WI
Enumeration date
12/17/2007
Last updated
07/03/2018
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