Individual
MS. JULIE WENNEKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 E RIPPLEWATER AVE, BEVERLY SHORES, IN 46301-0249
(209) 380-8348
Mailing address
PO BOX 44, BEVERLY SHORES, IN 46301-0044
(209) 380-8348
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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