JESSICA G KERCKHOVE

MENOMONIE, WI
NPI1437394285
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15453-131)
Enumeration Date2008-12-09
Last Update Date2008-12-09
Business Address
-- JESSICA G KERCKHOVE BA, SAC
320 21ST ST N
MENOMONIE, WI 54751-2228
Phone number: 715-235-4537
Mailing Address
-- JESSICA G KERCKHOVE BA, SAC
5533 166TH ST
CHIPPEWA FALLS, WI 54729-6916
Phone number: 715-559-4563
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