Individual
JESSICA MARIE SHIPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1910 COUNTY ROAD NN, ELKHORN, WI 53121-4454
(262) 741-3200
(262) 741-3217
Mailing address
PO BOX 1005, ELKHORN, WI 53121-1005
(262) 741-3200
(262) 741-3217
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4962-125
WI
101YM0800X
Mental Health Counselor
4962-125
WI
Other
Enumeration date
10/19/2015
Last updated
09/10/2024
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