Jennifer Ann Douglas, TREATMENT TRAINEE 1

NPI #1760149553 in Hartland, Wisconsin

Provider Information

NPI Number: 1760149553
Entity Type: Individual
Name: Jennifer Ann Douglas, TREATMENT TRAINEE 1
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: TREATMENT TRAINEE 1
Enumeration Date: Nov 29, 2021
Last Updated: Dec 6, 2021

Practice Location

Address: 510 HARTBROOK DR STE 202
City: Hartland
State: Wisconsin
ZIP Code: 53029-1415
Phone: (262) 361-4275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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