Individual provider · Type 1 NPI

Virginia V. Fennema, MSW, LCSW

Mental Health Counselor · Kenosha, WI

NPI number 1376560946 Active

Practice location

6121 Green Bay Rd, Suite 220
Kenosha, WI 53142-2926

Fax (262) 652-1734

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1507-123 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1376560946

Virginia V. Fennema, MSW, LCSW's National Provider Identifier is 1376560946, issued on Jul 17, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kenosha, WI. The record was last updated on Jul 8, 2007.