Individual
GABRIELA JUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
811 E WASHINGTON AVE STE 400, MADISON, WI 53703-4028
(608) 389-0253
Mailing address
811 E WASHINGTON AVE STE 400, MADISON, WI 53703-4028
(608) 389-0253
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18679-130
WI
101YP2500X
Professional Counselor
Primary
4334-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4334-226
—
WI
Enumeration date
07/15/2019
Last updated
04/13/2022
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