Individual
JO ANN HUSSLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12970 W BLUEMOUND RD, SUITE 105, ELM GROVE, WI 53122-2607
(262) 787-2904
(262) 787-2909
Mailing address
4817 STATE ROAD 144, SLINGER, WI 53086-9526
(262) 644-1161
(262) 787-2909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3353-125
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40967300
—
WI
Enumeration date
07/14/2006
Last updated
07/08/2007
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