Individual
JESSICA DAWN MARIE COREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
161 W WISCONSIN AVE, PEWAUKEE, WI 53072-3467
(262) 695-8857
(262) 695-8879
Mailing address
2117 E TRIPOLI AVE, SAINT FRANCIS, WI 53235-4146
(262) 695-8857
(262) 695-8879
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4720-125
WI
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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