MRS. Jessica Lange, M.A., LPC
NPI #1942508965 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1942508965
- Entity Type
- Individual
- Name
- MRS. Jessica Lange, M.A., LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- M.A., LPC
- Enumeration Date
- Mar 1, 2011
- Last Updated
- Feb 10, 2015
Practice Location
- Address
- 12720 W NORTH AVE
- Address 2
- BUILDING B SUITE 200
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53005-4637
- Phone
- (262) 285-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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