Individual
MISS JESSICA L DEGROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2640 W POINT RD, GREEN BAY, WI 54304-1344
(920) 490-3790
(920) 490-3845
Mailing address
PO BOX 365, ONEIDA, WI 54155-0365
(920) 490-3790
(920) 490-3845
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7827-125
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689908527
—
WI
Enumeration date
12/04/2015
Last updated
08/26/2025
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