Individual
JENNIFER NOE MIZELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5250 E TERRACE DR STE 114, MADISON, WI 53718-8345
(608) 405-5111
Mailing address
5250 E TERRACE DR STE 114, MADISON, WI 53718-8345
(608) 405-5111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7893-125
WI
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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