Provider Demographics
NPI:1760617203
Name:OLSZEWSKI-GARCIA, JENNIFER MARIE (LPC)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:MARIE
Last Name:OLSZEWSKI-GARCIA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:MARIE
Other - Last Name:OLSZEWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3090 N. 53RD STREET
Mailing Address - Street 2:WILLOWGLEN ACADEMY CORE PROGRAM
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53210
Mailing Address - Country:US
Mailing Address - Phone:414-380-1337
Mailing Address - Fax:414-220-2222
Practice Address - Street 1:3090 N. 53RD STREET
Practice Address - Street 2:WILLOWGLEN ACADEMY CORE PROGRAM
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210
Practice Address - Country:US
Practice Address - Phone:414-380-1337
Practice Address - Fax:414-220-2222
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-28
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14802101YA0400X
WI4045104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)