Individual
JEESENIA ZAVALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QTT-LPC-IT
Contact information
Practice address
2906 S 20TH ST, MILWAUKEE, WI 53215-3732
(414) 672-1353
(414) 385-7551
Mailing address
PO BOX 778789, CHICAGO, IL 60677-8789
(414) 672-1353
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5426-226
WI
363LF0000X
Family Nurse Practitioner
5426-226
WI
Other
Enumeration date
09/07/2022
Last updated
06/26/2023
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