person
Ms. Jordan Bree Lesuer-mandernack, LPC-IT
Mental Health Counselor in Wauwatosa, Wisconsin
NPI 1932720430

Jordan Bree Lesuer-mandernack is a Mental Health Counselor based in Wauwatosa, WI and is specialized in Mental Health. Jordan Bree Lesuer-mandernack practices in Wauwatosa, WI and has the professional credentials of LPC-IT. The NPI Number for Jordan Bree Lesuer-mandernack is 1932720430 and holds a License No. 4501-226 (Wisconsin).

The current practice location address for Jordan Bree Lesuer-mandernack is 10045 W Lisbon Ave, Wauwatosa, WI and can be reached out via phone at 414-358-7953 and via fax at 414-358-7158.

Location: 10045 W Lisbon Ave, Wauwatosa, WI, 53222-2446
person
Provider Profile Details
NPI Number
1932720430
Provider Name
Jordan Bree Lesuer-mandernack
Credential
LPC-IT
Provider Entity Type
Individual
Gender
Female
Address
10045 W Lisbon Ave, Wauwatosa, WI, 53222-2446
Phone Number
414-358-7953
Fax Number
414-358-7158
Provider Enumeration Date
05/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10045 W Lisbon Ave
City
State
Zip
53222-2446
Phone Number
414-358-7953
Fax Number
414-358-7158
person
Provider Business Mailing Address Details
Address
10045 W Lisbon Ave
City
State
Zip
53222-2446
Phone Number
414-358-7953
Fax Number
414-358-7158
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4501-226 (Wisconsin)
Definition
Definition to come...
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