Individual
JESSICA JEAN MCBRIDE-FOUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, CSAC, ICS
Contact information
Practice address
1317 W TOWNE SQUARE RD, MEQUON, WI 53092-5017
(262) 241-5099
Mailing address
1317 W TOWNE SQUARE RD, MEQUON, WI 53092-5017
(262) 241-5099
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15420-132
WI
1041C0700X
Clinical Social Worker
Primary
7784-123
WI
Other
Enumeration date
04/05/2011
Last updated
07/14/2012
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