person
Mrs. Jessica Lange, MA,LPC
Professional Counselor in Brookfield, Wisconsin
NPI 1942508965

Jessica Lange is a Professional Counselor based in Brookfield, WI and is specialized in Professional. Jessica Lange practices in Brookfield, WI and has the professional credentials of MA,LPC. The NPI Number for Jessica Lange is 1942508965 and holds a License No. 4525-125 (Wisconsin).

The current practice location address for Jessica Lange is 12720 W North Ave, Brookfield, WI and can be reached out via phone at 262-285-1500 and via fax at 262-785-1555.

Location: 12720 W North Ave, Brookfield, WI, 53005-4637
person
Provider Profile Details
NPI Number
1942508965
Provider Name
Jessica Lange
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
12720 W North Ave, Brookfield, WI, 53005-4637
Phone Number
262-285-1500
Fax Number
262-785-1555
Provider Enumeration Date
03/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12720 W North Ave
City
State
Zip
53005-4637
Phone Number
262-285-1500
Fax Number
262-785-1555
person
Provider Business Mailing Address Details
Address
12720 W North Ave
City
State
Zip
53005-4637
Phone Number
262-285-1500
Fax Number
262-785-1555
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4525-125 (Wisconsin)
Definition
Definition to come...
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