Individual
MRS. JESSICA ANN WEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW RAPCI LCSW
Contact information
Practice address
2675 N MAYFAIR RD STE 400, MILWAUKEE, WI 53226-1305
(414) 763-6910
(414) 763-6911
Mailing address
10921 GLENWAY CT, MILWAUKEE, WI 53222-1120
(920) 973-0167
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12995
WI
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
7359-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126638121
APSW
WI
01
—
12995
RADCI
WI
01
—
15144-132
CLINICAL SUBSTANCE ABUSE COUNSELOR
WI
05
—
41008500
—
WI
Enumeration date
09/21/2006
Last updated
06/09/2025
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