Individual provider · Type 1 NPI

Jeremy Vern Woodliff, LPC

Professional Counselor · Wautoma, WI

NPI number 1316616592 Active

Practice location

230 Park St
Wautoma, WI 54982-9031

Call (920) 787-6550 Map

Fax (920) 787-0421

Mailing address

PO Box 1230
Wautoma, WI 54982-1230

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X4018-226 (WI)
Professional Counselor Primary 101YP2500X8752-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1316616592

Jeremy Vern Woodliff, LPC's National Provider Identifier is 1316616592, issued on Sep 10, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wautoma, WI. The record was last updated on Jan 4, 2023.