Individual provider · Type 1 NPI

Jennifer Marie Dudek, LPCIT

Mental Health Counselor · Shiocton, WI

NPI number 1013375419 Active

Practice location

N5367 Mayflower Rd
Shiocton, WI 54170-8934

Fax (920) 986-3004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2882-226 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1013375419

Jennifer Marie Dudek, LPCIT's National Provider Identifier is 1013375419, issued on Feb 1, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shiocton, WI. The record was last updated on Feb 1, 2016.