Individual
JENNIFER LYNN ELLENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 E GRAND AVE, BELOIT, WI 53511-6314
(608) 368-8087
Mailing address
540 E GRAND AVE, BELOIT, WI 53511-6314
(608) 368-8087
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11805-125
WI
101YP2500X
Professional Counselor
Primary
7447-226
WI
Other
Enumeration date
01/15/2024
Last updated
03/11/2026
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