Williams, Jennifer Ann

Williams, Jennifer Ann is an individual health care provider with primary practice located at 225 N Beaumont Rd Suite 326, Prairie Du Chien WI 53821-1445. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Williams, Jennifer Ann can be contacted via phone (608) 326-0248.

Contact Information

Primary practice address
225 N Beaumont Rd Suite 326 Prairie Du Chien WI 53821-1445
Phone: (608) 326-0248
Fax: (608) 326-4395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1800-226 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 6177-125 Wisconsin

Profile Details

NPI number 1760829170
LBN Legal business name Williams, Jennifer Ann
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2013
Last updated Aug 31st, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760829170 NPPES
Other 12683710 CAQH
MEDICAID 100035152 CAQH

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