Individual
JESSICA VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
7280 S 13TH ST STE 202, OAK CREEK, WI 53154-1831
(708) 990-2889
Mailing address
2460 S AUSTIN ST, MILWAUKEE, WI 53207-1510
(708) 990-2889
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7431
WI
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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