person
Virginia V Fennema, MSW,LCSW
Mental Health Counselor in Kenosha, Wisconsin
NPI 1376560946

Virginia V Fennema is a Mental Health Counselor based in Kenosha, WI and is specialized in Mental Health. Virginia V Fennema practices in Kenosha, WI and has the professional credentials of MSW,LCSW. The NPI Number for Virginia V Fennema is 1376560946 and holds a License No. 1507-123 (Wisconsin).

The current practice location address for Virginia V Fennema is 6121 Green Bay Rd, Kenosha, WI and can be reached out via phone at 262-652-7222 and via fax at 262-652-1734. You can also correspond with Virginia V Fennema through the mailing address at 6121 GREEN BAY RD, KENOSHA, WI - 53142-2926 (mailing address contact number: 262-652-7222).

Location: 6121 Green Bay Rd, Kenosha, WI, 53142-2926
person
Provider Profile Details
NPI Number
1376560946
Provider Name
Virginia V Fennema
Credential
MSW,LCSW
Provider Entity Type
Individual
Gender
Female
Address
6121 Green Bay Rd, Kenosha, WI, 53142-2926
Phone Number
262-652-7222
Fax Number
262-652-1734
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
175724 01 WI VALUE OPTIONS
39296200 05 WI
467366 01 WI PHCS
institution
Provider Business Practice Location Address Details
Address
6121 Green Bay Rd
City
State
Zip
53142-2926
Phone Number
262-652-7222
Fax Number
262-652-1734
person
Provider Business Mailing Address Details
Address
6121 Green Bay Rd
City
State
Zip
53142-2926
Phone Number
262-652-7222
Fax Number
262-652-1734
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1507-123 (Wisconsin)
Definition
Definition to come...
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