Individual
JESSICA PESAVENTO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 280-2636
Mailing address
7316 SOUTH AVE, MIDDLETON, WI 53562-3733
(561) 676-2645
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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