Individual
JACQUELYN TUMMINELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1990 WISCONSIN AVE, GRAFTON, WI 53024-2601
(262) 421-7121
Mailing address
1990 WISCONSIN AVE, GRAFTON, WI 53024-2601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5372-226
WI
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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