NICHOLAS JENQUIN

GREEN BAY, WI
NPI1821876608
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WI  7636-226)
Enumeration Date2023-09-21
Last Update Date2023-09-21
Business Address
NICHOLAS JENQUIN
1496 BELLEVUE ST # 101
GREEN BAY, WI 54311-4205
Phone number: 920-784-2644
Mailing Address
NICHOLAS JENQUIN
1496 BELLEVUE ST # 101
GREEN BAY, WI 54311-4205
Phone number: 920-784-2644