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Individual

JAYME MATLOUB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
16535 W BLUEMOUND RD STE 200, BROOKFIELD, WI 53005-5906
(262) 789-1191
Mailing address
4240 W SILVER SPRING DR, MILWAUKEE, WI 53209-3910

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8602-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
Enumeration date
06/30/2022
Last updated
08/15/2025
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