Most Relevant Information
Provider Data
| NPI Number: | 1003246943 |
| Provider Name: | JACQUELYN RUPNIK LPC-WI-4813-125 |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 4813-125 |
Most Important Dates
| Enumeration Date: | 11/13/2013 |
| Last Updated: | 11/13/2013 |
Provider Practice Location
W4051 COUNTY ROAD NN
ELKHORN
WI
531214338
Practice Location Phone/Fax
| Phone: | 2627413200 |
| Fax: |
Provider Mailing Location
W4051 COUNTY ROAD NN
P.O. BOX 1005
ELKHORN
WI
531214338
Provider Mailing Phone/Fax
| Phone: | 2627413200 |
| Fax: |