Individual
JESSICA OLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 W MAIN ST, PORT WASHINGTON, WI 53074-1813
(262) 284-8148
(262) 284-8209
Mailing address
121 W MAIN ST, PORT WASHINGTON, WI 53074-1813
(262) 284-8148
(262) 284-8209
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1257-226
WI
104100000X
Social Worker
Primary
1257-226
WI
Other
Enumeration date
12/17/2012
Last updated
04/23/2015
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