Individual
JENNIFER VANROSSUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
741 N GRAND AVE, SUITE 302, WAUKESHA, WI 53186-4820
(262) 542-3255
Mailing address
W283 N6297 HIBRITTEN WAY, HARTLAND, WI 53029
(773) 502-1023
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3614-125
WI
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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