Individual
JILL BLEY KLINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1640 E SUMNER ST, HARTFORD, WI 53027-2684
(262) 670-4069
Mailing address
224 BIRCH LN, HARTFORD, WI 53027-1717
(262) 673-7034
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2788-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39789600
—
WI
Enumeration date
02/01/2007
Last updated
07/15/2022
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