Wollenzien-Daniels, Jill M.

Wollenzien-Daniels, Jill M. is an sole proprietor health care provider with primary practice located at 2290 Rickie Dr , Mosinee WI 54455-8848. She recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wollenzien-Daniels, Jill M. can be contacted via phone (715) 298-2104.

Contact Information

Primary practice address
2290 Rickie Dr Mosinee WI 54455-8848
Phone: (715) 298-2104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 2273-057 Wisconsin
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 2273-057 Wisconsin
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 2273-057 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2273-057 Wisconsin
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2273-057 Wisconsin
Behavioral Health & Social Service Providers / Forensic 103TF0200X 2273-057 Wisconsin
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 2273-057 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2273-057 Wisconsin

Profile Details

NPI number 1730227885
LBN Legal business name Wollenzien-Daniels, Jill M.
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Feb 11th, 2009 - about 15 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 1730227885 NPPES
Wisconsin MEDICAID 39274400

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