Individual provider · Type 1 NPI

Jessica Lea Anderson, MA LPC NCC

Professional Counselor · Madison, WI

NPI number 1679708390 Active

Practice location

1320 Mendota St Ste 120
Madison, WI 53714-1060

Call (608) 280-3106 Map

Mailing address

25 Kessel Ct Ste 105
Madison, WI 53711-6227

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XLPC.0011615 (CO)
Professional Counselor Primary 101YP2500X5854-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1679708390

Jessica Lea Anderson, MA LPC NCC's National Provider Identifier is 1679708390, issued on May 26, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Madison, WI. The record was last updated on Aug 19, 2016.