MEDICARE: MS. JENNIFER MARIE JANVIERE

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1912838095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER MARIE JANVIERE

Provider Business Mailing Address
First Line	:	118 N 70TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53213-3832
Country	:	US
Telephone Number	:	414-460-7259
Fax Number	:

Provider Business Practice Location Address
First Line	:	6001 W CENTER ST STE 105
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53210-2154
Country	:	US
Telephone Number	:	414-930-3244
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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