Individual
JORDAN MICHELLE MARKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
1245 CHEYENNE AVE STE 200, GRAFTON, WI 53024-9323
(262) 233-1818
Mailing address
1245 CHEYENNE AVE, 200, GRAFTON, WI 53024
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5333-226
WI
Other
Enumeration date
06/08/2022
Last updated
01/16/2023
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