Individual
JESSICA PAGET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
255 W BROADWAY, WAUKESHA, WI 53186-4832
(414) 207-8660
Mailing address
255 W BROADWAY, WAUKESHA, WI 53186-4832
(414) 207-8660
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20498130
WI
Other
Enumeration date
02/19/2024
Last updated
09/26/2024
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