Individual
MRS. JORDAN RAE PANIAGUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
245 REGENCY CT, SUITE 200, BROOKFIELD, WI 53045
(262) 922-5020
Mailing address
245 REGENCY CT, SUITE 200, BROOKFIELD, WI 53045
(262) 922-5020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
10572-125
WI
Other
Enumeration date
12/21/2021
Last updated
03/15/2024
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