Individual
JESSIKA ELLEN EIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2607 N GRANDVIEW BLVD STE 110, WAUKESHA, WI 53188-1690
(262) 313-8339
Mailing address
N91W16170 JUNCTION WAY APT 201, MENOMONEE FALLS, WI 53051-3242
(608) 469-2766
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11743-125
WI
Other
Enumeration date
06/17/2022
Last updated
04/30/2025
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