Individual
JILL R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 454-6600
Mailing address
1220 DEWEY AVE, WAUWATOSA, WI 53213-2504
(414) 773-4312
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3644-125
WI
Other
Enumeration date
12/27/2006
Last updated
07/19/2022
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