Individual provider · Type 1 NPI

Sara N. Jettawi, LPC

Counselor · Kenosha, WI

NPI number 1447912480 Active

Practice location

2108 63rd St
Kenosha, WI 53143-4454

Call (262) 652-2406 Map

Mailing address

6233 39th Ave
Kenosha, WI 53142-7015

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X10456-125 (WI)
Social Worker 104100000X5035-226 (WI)
Counselor Primary 101Y00000X10456-125 (WI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1447912480

Sara N. Jettawi, LPC's National Provider Identifier is 1447912480, issued on Oct 7, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Kenosha, WI. The record was last updated on Jun 4, 2024.