Individual
JEFFREY LEE JANIKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
13111 LAX CHAPEL RD, KIEL, WI 53042-3954
(920) 797-4419
(920) 894-4471
Mailing address
530 STATE ROAD 67, KIEL, WI 53042-1650
(920) 797-4419
(920) 894-4471
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16244-132
WI
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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