Individual provider · Type 1 NPI
Jennifer Ann Douglas, TREATMENT TRAINEE 1
Counselor · Hartland, WI
NPI number
1760149553
Active
Practice location
510 Hartbrook Dr Ste 202
Hartland, WI 53029-1415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 1528364825 (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 1760149553
Jennifer Ann Douglas, TREATMENT TRAINEE 1's National Provider Identifier is 1760149553, issued on Nov 29, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Hartland, WI. The record was last updated on Dec 6, 2021.