Individual
JODI ANN STREBEL-DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, LPC-IT
Contact information
Practice address
626 S IRWIN AVE, GREEN BAY, WI 54301-3304
(920) 436-6800
(920) 432-5966
Mailing address
PO BOX 22308, GREEN BAY, WI 54305-2308
(920) 436-6800
(920) 432-5966
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4035-226
WI
101YP2500X
Professional Counselor
Primary
8501
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790301414
—
WI
01
—
8501-125
STATE LICENSE
WI
Enumeration date
06/18/2020
Last updated
05/20/2022
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