| Jng Counseling Llc | |
|
424 E Longview Dr Ste A Appleton WI 54911 | |
| (920) 234-9240 | |
| Not Available |
| Full Name | Jng Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 424 E Longview Dr Ste A, Appleton, Wisconsin |
| Authorized Official Name and Position | Jaclyn Geitner (OWNER) |
| Authorized Official Contact | 6514911346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jng Counseling Llc 424 E Longview Dr Ste A Appleton WI 54911-2167 Ph: (920) 234-9240 | Jng Counseling Llc 424 E Longview Dr Ste A Appleton WI 54911 Ph: (920) 234-9240 |
| NPI Number | 1215436258 |
|---|---|
| Provider Enumeration Date | 02/05/2018 |
| Last Update Date | 08/23/2018 |
| Medicare PECOS PAC ID | 8729341656 |
|---|---|
| Medicare Enrollment ID | O20180406000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215436258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jaclyn Nina Geitner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629352844 PECOS PAC ID: 9638432560 Enrollment ID: I20180406000635 |
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