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NPI Profile for JENNIFER A TEBEEST SEVERSON in ONALASKA, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Dance Therapist |
225600000X |
| NPI # | 1588368252 |
|
| Status | Active | |
| Credentials | LPC (Licensed Professional Counselor) | |
| Entity | Individual | |
| Enumeration date | 03/28/2023 | |
| Last updated | 09/25/2025 - About 8 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JENNIFER A TEBEEST SEVERSON, LPC