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Individual

JESSICA FASANELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,CRC,LPC

Contact information

Practice address
2860 NASSAU DR, BROOKFIELD, WI 53045-3421
(414) 690-2692
Mailing address
2860 NASSAU DR, BROOKFIELD, WI 53045-3421
(414) 690-2692

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10245125
WI

Other

Enumeration date
09/17/2025
Last updated
10/24/2025
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