Individual
BETH MARIE JESSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
122 E SPRING ST, ORFORDVILLE, WI 53576-8770
(608) 728-1256
Mailing address
724 W BELOIT ST, ORFORDVILLE, WI 53576-9785
(608) 359-2427
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10117-125
WI
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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