| Jennifer Marie Hendrickson, PC-IT, SAC-IT | |
|
612 N Randall Ave, Suite A, Janesville, WI 53545-1958 | |
| (608) 752-7660 | |
| (608) 752-9788 |
| Full Name | Jennifer Marie Hendrickson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 612 N Randall Ave, Janesville, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689935983 | NPI | - | NPPES |
| 1434-226 | Other | WI | DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES |
| 16441-130 | Other | WI | DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 1434-226 (Wisconsin) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16441-130 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Marie Hendrickson, PC-IT, SAC-IT 612 N Randall Ave, Suite A, Janesville, WI 53545-1958 Ph: (608) 752-7660 | Jennifer Marie Hendrickson, PC-IT, SAC-IT 612 N Randall Ave, Suite A, Janesville, WI 53545-1958 Ph: (608) 752-7660 |
Michael G Braun, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Sunny Ln, Janesville, WI 53546 Phone: 608-741-4500 Fax: 608-741-4502 | |
Kamela D. Cisneros, Counselor Medicare: Medicare Enrolled Practice Location: 903 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-5555 Fax: 608-756-0174 | |
Carol Ann Ward, LPC,NCC Counselor Medicare: Medicare Enrolled Practice Location: 1519 Primrose Ln, Janesville, WI 53545 Phone: 608-752-7255 Fax: 608-752-6942 | |
Ms. Christina Renee Mcginn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Sunny Ln, Janesville, WI 53546 Phone: 608-847-7575 | |
Tamra J Oman, CFT 14379130 Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Sunny Lane, Janesville, WI 53546 Phone: 608-741-4500 Fax: 608-741-4516 | |
Jayme St. John, Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 S Franklin St, Janesville, WI 53548 Phone: 608-757-5625 | |
Rebecca L Davis, LPC-IT, SAC Counselor Medicare: Medicare Enrolled Practice Location: 903 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6530 Fax: 608-756-6564 |