Mrs. Jessica Lange M.A., LPC
Professional Counselor in Brookfield, WI(View on Map)
Full Name
Mrs. Jessica Lange M.A., LPC
NPI Number
1942508965
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/01/2011
Specialties
(Taxonomies)Licenses
State
Wisconsin
License Number
4525-125
Contact
Information
Purpose
Mailing
Location
Address
12720 W NORTH AVE
12720 W NORTH AVE
City
Brookfield
Brookfield
State
WI
WI
Postal Code
53005-4637
53005-4637
Country
US
US
Telephone Number
(262) 785-1500
(262) 285-1500
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/10/2015
Provider Address
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