Individual
JESSICA RUSTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2607 N GRANDVIEW BLVD, SUITE 108, WAUKESHA, WI 53188-1686
(262) 313-8339
(262) 910-1653
Mailing address
2607 N GRANDVIEW BLVD STE 110, WAUKESHA, WI 53188-1690
(262) 313-8339
(262) 910-1653
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6154-125
WI
Other
Enumeration date
07/21/2014
Last updated
04/22/2024
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