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Individual

ANDREA L JANQUART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSC, LPC, CSAC

Contact information

Practice address
1102 S PARK ST, MADISON, WI 53715-1708
(608) 282-8270
(608) 287-5992
Mailing address
37 SHERMAN TERRACE, UNIT 4, MADISON, WI 53704
(608) 770-0762

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16145-132
WI
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
6272-125
WI

Other

Enumeration date
09/24/2013
Last updated
03/28/2024
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