Woodliff, Jeremy Vern

Woodliff, Jeremy Vern is an individual health care provider with primary practice located at 230 Park St , Wautoma WI 54982-9031. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Woodliff, Jeremy Vern can be contacted via phone (920) 787-6550.

Contact Information

Primary practice address
230 Park St Wautoma WI 54982-9031
Phone: (920) 787-6550
Fax: (920) 787-0421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4018-226 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 8752-125 Wisconsin

Profile Details

NPI number 1316616592
LBN Legal business name Woodliff, Jeremy Vern
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2021
Last updated Jan 4th, 2023 - about last year

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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