Holstead, Jenell L

Holstead, Jenell L is an sole proprietor health care provider with primary practice located at 1050 Circle Dr Ste B , Green Bay WI 54304-5569. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Psychoanalysis, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Holstead, Jenell L can be contacted via phone (920) 544-2780.

Contact Information

Primary practice address
1050 Circle Dr Ste B Green Bay WI 54304-5569
Phone: (920) 544-2780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1801477377
LBN Legal business name Holstead, Jenell L
Credentials PH.D., NCSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2021
Last updated Apr 16th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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