Healthcare Provider Details

I. General information

NPI: 1598711699
Provider Name (Legal Business Name): JENNIFER L. CILINO-FOLKS PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER L. AURAND PSYD

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 12/17/2020
Certification Date: 12/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 22ND AVENUE MONROE CLINIC
MONROE WI
53566-1569
US

IV. Provider business mailing address

515 22ND AVE
MONROE WI
53566-1569
US

V. Phone/Fax

Practice location:
  • Phone: 608-324-2222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number071006887
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3548-57
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: