JESSLYN L GEIDEL

GREEN BAY, WI
NPI1679081426
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  17113-130)
Enumeration Date2018-01-15
Last Update Date2021-02-02
Business Address
JESSLYN L GEIDEL CSAC
2640 W POINT RD
GREEN BAY, WI 54304-1344
Phone number: 920-490-3790
Mailing Address
JESSLYN L GEIDEL CSAC
PO BOX 365
ONEIDA, WI 54155-0365
Phone number: 920-490-3790
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