Individual
JADE TANJUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N91W17194 APPLETON AVE STE 204, MENOMONEE FALLS, WI 53051-2083
(414) 502-7780
Mailing address
2454 N 117TH ST, WAUWATOSA, WI 53226-1120
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5583125
WI
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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