Kettner, Donna Jean

Kettner, Donna Jean is an individual health care provider with primary practice located at 1111 W Wisconsin St , Sparta WI 54656-2233. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kettner, Donna Jean can be contacted via phone (608) 269-1588.

Contact Information

Primary practice address
1111 W Wisconsin St Sparta WI 54656-2233
Phone: (608) 269-1588
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2647 Wisconsin

Profile Details

NPI number 1619158151
LBN Legal business name Kettner, Donna Jean
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2007
Last updated May 2nd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers