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Jennifer Ann Douglas, TREATMENTTRAINEE1
Counselor in Hartland, Wisconsin
NPI 1760149553

Jennifer Ann Douglas is a Counselor based in Hartland, WI. Jennifer Ann Douglas practices in Hartland, WI and has the professional credentials of TREATMENTTRAINEE1. The NPI Number for Jennifer Ann Douglas is 1760149553 and holds a License No. 1528364825 (Wisconsin).

The current practice location address for Jennifer Ann Douglas is 510 Hartbrook Dr Ste 202, Hartland, WI and can be reached out via phone at 262-361-4275.

Location: 510 Hartbrook Dr Ste 202, Hartland, WI, 53029-1415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760149553
Provider Name
Jennifer Ann Douglas
Credential
TREATMENTTRAINEE1
Provider Entity Type
Individual
Gender
Female
Address
510 Hartbrook Dr Ste 202, Hartland, WI, 53029-1415
Phone Number
262-361-4275
Fax Number
Provider Enumeration Date
11/29/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
472230426 05 WI
institution
Provider Business Practice Location Address Details
Address
510 Hartbrook Dr Ste 202
City
Hartland
State
Wisconsin
Zip
53029-1415
Phone Number
262-361-4275
Fax Number
person
Provider Business Mailing Address Details
Address
510 Hartbrook Dr Ste 202
City
Hartland
State
Wisconsin
Zip
53029-1415
Phone Number
262-361-4275
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
1528364825 (Wisconsin)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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