Provider Demographics
NPI:1982116968
Name:OETTING, JILLIAN CLAIRE (MS)
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:CLAIRE
Last Name:OETTING
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 930032
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:WI
Mailing Address - Zip Code:53593-0032
Mailing Address - Country:US
Mailing Address - Phone:608-218-4131
Mailing Address - Fax:
Practice Address - Street 1:555 DONOFRIO DR STE 75
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-2053
Practice Address - Country:US
Practice Address - Phone:608-218-4131
Practice Address - Fax:877-940-4131
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health