Provider Demographics
NPI:1235228586
Name:MOKER, JANE MARIE (MS)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:MARIE
Last Name:MOKER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:JANE
Other - Middle Name:MARIE
Other - Last Name:SKOWLUND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:MARINETTE COUNTY HEALTH AND HUMAN SERVICES
Mailing Address - Street 2:2500 HALL AVE SUITE A
Mailing Address - City:MARINETTE
Mailing Address - State:WI
Mailing Address - Zip Code:54143
Mailing Address - Country:US
Mailing Address - Phone:715-732-7760
Mailing Address - Fax:715-732-7711
Practice Address - Street 1:MARINETTE COUNTY HEALTH AND HUMAN SERVICES
Practice Address - Street 2:1201 JACKSON ST
Practice Address - City:MARINETTE
Practice Address - State:WI
Practice Address - Zip Code:54151
Practice Address - Country:US
Practice Address - Phone:715-732-7760
Practice Address - Fax:715-732-7711
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39749500Medicaid