Individual
MRS. JENNIFER SWEENEY MANDERSCHEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC, CSAC
Contact information
Practice address
6040 W LISBON AVE, SUITE 102, MILWAUKEE, WI 53210-2116
(414) 871-9111
(414) 871-9121
Mailing address
6040 W LISBON AVE, SUITE 102, MILWAUKEE, WI 53210-2116
(414) 871-9111
(414) 871-9121
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16479-130
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
5843-132
WI
101YM0800X
Mental Health Counselor
1298-226
WI
101YM0800X
Mental Health Counselor
Primary
5283-125
WI
Other
Enumeration date
01/29/2012
Last updated
07/23/2014
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