Individual
MRS. JENNIFER ANNE NEWKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C
Contact information
Practice address
12690 W NORTH AVE STE C, BROOKFIELD, WI 53005-4605
(262) 785-1008
Mailing address
12690 W NORTH AVE STE C, BROOKFIELD, WI 53005-4605
(262) 785-1008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4662-125
WI
101YP2500X
Professional Counselor
Primary
4662-125
WI
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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