Individual
JEANNE LOUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, SAC
Contact information
Practice address
199 COUNTY ROAD DF FL 3, JUNEAU, WI 53039-9512
(920) 386-4094
(920) 386-4564
Mailing address
W11211 COUNTY ROAD G, BEAVER DAM, WI 53916-9567
(608) 206-0186
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16256
WI
101YM0800X
Mental Health Counselor
Primary
6313-125
WI
Other
Enumeration date
03/30/2016
Last updated
09/20/2024
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