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NPI Code Detail

MEDICARE: JAMIE LYNN VELVIKIS CSW

MEDICARE:   JAMIE LYNN VELVIKIS  CSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1164937033
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE LYNN VELVIKIS CSW
Provider Business Mailing Address
First Line : W160N8793 PATTON DR
Second Line :
City : MENOMONEE FALLS
State : WI
Zip : 53051-2949
Country : US
Telephone Number : 262-323-1055
Fax Number :
Provider Business Practice Location Address
First Line : 384 W SUMNER ST
Second Line :
City : HARTFORD
State : WI
Zip : 53027-1421
Country : US
Telephone Number : 262-323-1055
Fax Number : 262-323-1055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2017
Last Update Date : 12/13/2017

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Directions to “ JAMIE LYNN VELVIKIS CSW” Practice Location

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