Jessica Rose Thering, SAC-IT, MT-BC, WMTR

NPI #1932590916 in Grafton, Wisconsin

Provider Information

NPI Number: 1932590916
Entity Type: Individual
Name: Jessica Rose Thering, SAC-IT, MT-BC, WMTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: SAC-IT, MT-BC, WMTR
Enumeration Date: Feb 11, 2015
Last Updated: Feb 11, 2015

Practice Location

Address: 1971 WASHINGTON ST
Address 2: SUITE 200
City: Grafton
State: Wisconsin
ZIP Code: 53024-2102
Phone: (262) 377-6276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Professional — Professional	101YP2500X	Primary

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