Individual
JENNIFER LYNN WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
1515 DOCTORS CT, WATERTOWN, WI 53094-4101
(920) 988-4336
Mailing address
1330 S 10TH ST, WATERTOWN, WI 53094-6750
(920) 988-2077
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8393226
WI
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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