Individual
JESSICA DALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC NCC
Contact information
Practice address
1523 WISCONSIN 78 TRUNK, MOUNT HOREB, WI 53572
(701) 870-0022
Mailing address
1523 WISCONSIN 78 TRUNK, MOUNT HOREB, WI 53572
(701) 870-0022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6985-125
WI
101YP2500X
Professional Counselor
0014141
CO
Other
Enumeration date
12/09/2015
Last updated
05/18/2020
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