Individual
SHAY JENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2275 DEMING WAY, MIDDLETON, WI 53562-5527
(608) 333-1837
Mailing address
2275 DEMING WAY, MIDDLETON, WI 53562-5527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7803226
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/15/2022
Last updated
03/12/2024
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