Individual
JESSICA CULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
612 N RANDALL AVE, JANESVILLE, WI 53545-1958
(608) 752-7660
Mailing address
74 ECLIPSE CTR, BELOIT, WI 53511-3550
(608) 361-0311
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5989-125
WI
Other
Enumeration date
11/27/2013
Last updated
02/11/2022
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