JEFFREY LEE JANIKOWSKI

KIEL, WI
NPI1811551138
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16244-132)
Enumeration Date2019-04-23
Last Update Date2019-04-23
Business Address
JEFFREY LEE JANIKOWSKI CSAC
13111 LAX CHAPEL RD
KIEL, WI 53042-3954
Phone number: 920-797-4419
Mailing Address
JEFFREY LEE JANIKOWSKI CSAC
530 STATE ROAD 67
KIEL, WI 53042-1650
Phone number: 920-797-4419
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