Provider Demographics
NPI:1437518792
Name:SLEETER, JENA ANN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JENA
Middle Name:ANN
Last Name:SLEETER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JENA
Other - Middle Name:ANN
Other - Last Name:NOVAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:730 SWEDE AVE PO BOX 127
Mailing Address - Street 2:
Mailing Address - City:TURTLE LAKE
Mailing Address - State:WI
Mailing Address - Zip Code:54889
Mailing Address - Country:US
Mailing Address - Phone:715-986-2640
Mailing Address - Fax:715-986-2291
Practice Address - Street 1:730 SWEDE AVE
Practice Address - Street 2:
Practice Address - City:TURTLE LAKE
Practice Address - State:WI
Practice Address - Zip Code:54889
Practice Address - Country:US
Practice Address - Phone:715-986-2640
Practice Address - Fax:715-986-2291
Is Sole Proprietor?:No
Enumeration Date:2016-02-15
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1058-124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist