Jessica Dance is a Counselor based in Kaukauna, WI. Jessica Dance practices in Kaukauna, WI. The NPI Number for Jessica Dance is 1477277788 and holds a License No. (Wisconsin).
The current practice location address for Jessica Dance is 911 Joyce St Apt 305, Kaukauna, WI and can be reached out via phone at 920-389-1585.
Location: 911 Joyce St Apt 305, Kaukauna, WI, 54130-1057
Provider Profile Details
NPI Number
1477277788
Provider Name
Jessica Dance
Credential
Provider Entity Type
Individual
Gender
Female
Address
911 Joyce St Apt 305, Kaukauna, WI, 54130-1057
Phone Number
920-389-1585
Fax Number
Provider Enumeration Date
09/29/2022
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111230 | 01 | CERTIFIED SEX ADDICTION COUNSELOR |
Provider Business Practice Location Address Details
Address
911 Joyce St Apt 305
City
State
Zip
54130-1057
Phone Number
920-389-1585
Fax Number
Provider Business Mailing Address Details
Address
911 Joyce St Apt 305
City
State
Zip
54130-1057
Phone Number
920-389-1585
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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