person
Ms. Janelle Elizabeth Clark, LPC
Professional Counselor in Cedarburg, Wisconsin
NPI 1043314040

Janelle Elizabeth Clark is a Professional Counselor based in Cedarburg, WI and is specialized in Professional. Janelle Elizabeth Clark practices in Cedarburg, WI and has the professional credentials of LPC. The NPI Number for Janelle Elizabeth Clark is 1043314040 and holds a License No. 2708-125 (Wisconsin).

The current practice location address for Janelle Elizabeth Clark is 7861 State Road 60, Cedarburg, WI and can be reached out via phone at 262-546-1050 and via fax at 262-546-1051.

Location: 7861 State Road 60, Cedarburg, WI, 53012-9305
person
Provider Profile Details
NPI Number
1043314040
Provider Name
Janelle Elizabeth Clark
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
7861 State Road 60, Cedarburg, WI, 53012-9305
Phone Number
262-546-1050
Fax Number
262-546-1051
Provider Enumeration Date
09/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
391706314 01 WI GROUP TAX IDENTIFICATION
1043314040 01 WI MEDICAID/NPI#
21280000 05 WI
institution
Provider Business Practice Location Address Details
Address
7861 State Road 60
City
State
Zip
53012-9305
Phone Number
262-546-1050
Fax Number
262-546-1051
person
Provider Business Mailing Address Details
Address
7861 State Road 60
City
State
Zip
53012-9305
Phone Number
262-546-1050
Fax Number
262-546-1051
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2708-125 (Wisconsin)
Definition
Definition to come...
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