Individual
JENNIFER S DUBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
1610 MILLER PARK WAY, WEST MILWAUKEE, WI 53214
(414) 672-3801
(414) 672-6026
Mailing address
5605 73RD ST, KENOSHA, WI 53142-3669
(262) 220-5372
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17375-130
WI
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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