Healthcare Provider Details

I. General information

NPI: 1235228586
Provider Name (Legal Business Name): JANE MARIE MOKER MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANE MARIE SKOWLUND MS

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 02/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MARINETTE COUNTY HEALTH AND HUMAN SERVICES 1201 JACKSON ST
MARINETTE WI
54151
US

IV. Provider business mailing address

MARINETTE COUNTY HEALTH AND HUMAN SERVICES 2500 HALL AVE SUITE A
MARINETTE WI
54143
US

V. Phone/Fax

Practice location:
  • Phone: 715-732-7760
  • Fax: 715-732-7711
Mailing address:
  • Phone: 715-732-7760
  • Fax: 715-732-7711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: