Individual
JESSICA LEE GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
320 W GRAND AVE, SUITE 304A, WISCONSIN RAPIDS, WI 54495-2781
(715) 424-6960
Mailing address
320 W GRAND AVE, SUITE 304A, WISCONSIN RAPIDS, WI 54495-2781
(715) 424-6960
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1342-226
WI
101YP2500X
Professional Counselor
Primary
5318-125
WI
Other
Enumeration date
03/09/2012
Last updated
04/23/2014
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