Individual
JEANI M OPPENEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
118 N MADISON ST, STOUGHTON, WI 53589-1530
(608) 235-9625
Mailing address
118 N MADISON ST, STOUGHTON, WI 53589-1530
(608) 235-9625
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3162-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3162-226
WISCONSIN DEPT. OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
07/02/2019
Last updated
07/02/2019
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