Individual
JESSICA L AIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6232 BANKERS RD LOWR, MOUNT PLEASANT, WI 53403-9747
(605) 641-0566
Mailing address
6232 BANKERS RD LOWR, MOUNT PLEASANT, WI 53403-9747
(605) 641-0566
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6955-125
WI
101YM0800X
Mental Health Counselor
6955-125
WI
101YP2500X
Professional Counselor
Primary
6955-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14070741
CAQH
—
01
—
1598404816
NPPES
—
01
—
6955-125
WISCONSIN REG AND LIC
WI
Enumeration date
04/22/2015
Last updated
06/07/2022
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