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Mrs. Kristina Lynn Jerry
Professional Counselor in Kenosha, Wisconsin
NPI 1982225322

Kristina Lynn Jerry is a Professional Counselor based in Gurnee, WI and is specialized in Professional. Kristina Lynn Jerry practices in Kenosha, WI. The NPI Number for Kristina Lynn Jerry is 1982225322 and holds a License No. 4617-226 (Wisconsin).

The current practice location address for Kristina Lynn Jerry is 4109 67Th St, Kenosha, WI and can be reached out via phone at 262-652-9830.

Location: 4109 67Th St, Kenosha, WI, 60031-5152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982225322
Provider Name
Kristina Lynn Jerry
Credential
Provider Entity Type
Individual
Gender
Female
Address
4109 67Th St, Kenosha, WI, 60031-5152
Phone Number
262-652-9830
Fax Number
Provider Enumeration Date
04/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4109 67Th St
City
Kenosha
State
Wisconsin
Zip
53142-3836
Phone Number
262-652-9830
Fax Number
person
Provider Business Mailing Address Details
Address
4109 67Th St
City
Kenosha
State
Wisconsin
Zip
53142-3836
Phone Number
262-652-9830
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
4617-226 (Wisconsin)
Definition
Definition to come...
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