Individual
LYNNETTE KAY JENNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
108 W 2ND ST N, LADYSMITH, WI 54848-1338
(715) 532-9771
(715) 532-9774
Mailing address
108 W 2ND ST N, LADYSMITH, WI 54848-1338
(715) 532-9771
(715) 532-9774
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17587
WI
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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