Individual provider · Type 1 NPI

Jamie-Lee Nietupski, LPC-IT

Counselor · Kenosha, WI

NPI number 1992278964 Active

Practice location

2108 63rd St
Kenosha, WI 53143-4454

Call (262) 652-2406 Map

Fax (262) 652-2408

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X4000-226 (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 1992278964

Jamie-Lee Nietupski, LPC-IT's National Provider Identifier is 1992278964, issued on Jan 2, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Kenosha, WI. The record was last updated on Jan 2, 2019.