Individual provider · Type 1 NPI

Pamela Jean Jenks, C.A.D.C.III

Addiction (Substance Use Disorder) Counselor · Greenfield, WI

NPI number 1194801415 Active

Practice location

4811 S 76th St, SUITE208
Greenfield, WI 53220-4364

Fax (141) 481-7044

Mailing address

311 E Evandale Dr
Oak Creek, WI 53154-3015

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X684 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1194801415

Pamela Jean Jenks, C.A.D.C.III's National Provider Identifier is 1194801415, issued on Oct 29, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Greenfield, WI. The record was last updated on Jul 8, 2007.