Individual provider · Type 1 NPI
Jordan Rae Paniagua, LPC
Professional Counselor · Brookfield, WI
NPI number
1912667775
Active
Practice location
245 Regency Ct, Suite 200
Brookfield, WI 53045
Other practice locations
- 12970 W Bluemound Rd Ste 200, Elm Grove, WI 53122-2607 · (262) 780-1020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | 10572-125 (WI) |
Professional Counselor: Definition to come...
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About NPI 1912667775
Jordan Rae Paniagua, LPC's National Provider Identifier is 1912667775, issued on Dec 21, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Brookfield, WI. The record was last updated on Mar 15, 2024.