JEANETTE KSIONEK

APPLETON, WI
NPI1730451865
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  1155132)
Enumeration Date2012-02-06
Last Update Date2012-02-06
Business Address
-- JEANETTE KSIONEK CSAC
4000 W SPENCER ST
APPLETON, WI 54914-4015
Phone number: 920-735-9010
Mailing Address
-- JEANETTE KSIONEK CSAC
4000 W SPENCER ST
APPLETON, WI 54914-4015
Phone number: 920-735-9010