Individual
JESSA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1061 W MASON ST, GREEN BAY, WI 54303-1858
(920) 475-8535
Mailing address
1061 W MASON ST, GREEN BAY, WI 54303-1858
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8745-125
WI
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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