JENNIFER LYNN TENNESSEN

APPLETON, WI
NPI1255810115
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  18280-130)
Enumeration Date2018-08-11
Last Update Date2018-08-11
Business Address
Mrs. JENNIFER LYNN TENNESSEN SAC-IT
3301 N BALLARD RD STE B
APPLETON, WI 54911-9002
Phone number: 920-851-4468
Mailing Address
Mrs. JENNIFER LYNN TENNESSEN SAC-IT
N472 KILSDONK CT
APPLETON, WI 54915-8726
Phone number: 920-851-4468