Individual
JESSE F KUSSEROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2300 RIVERSIDE DR, GREEN BAY, WI 54301-1900
(920) 541-6646
Mailing address
2300 RIVERSIDE DR, GREEN BAY, WI 54301-1900
(920) 541-6646
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7644125
WI
Other
Enumeration date
01/29/2017
Last updated
07/09/2025
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