Individual
JEANNA LUCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
2814 S 108TH ST, WEST ALLIS, WI 53227-3224
(414) 885-3525
(262) 643-4617
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(480) 935-5976
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17182-132
WI
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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