Individual provider · Type 1 NPI

Jessica Jo Shaker

Counselor · Montello, WI

NPI number 1912818311 Active

Practice location

480 Underwood Ave
Montello, WI 53949-9248

Call (608) 297-3124 Map

Fax (608) 297-8718

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X9321-226 (WI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

10 other providers at this address

About NPI 1912818311

Jessica Jo Shaker's National Provider Identifier is 1912818311, issued on Sep 15, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Montello, WI. The record was last updated on Sep 15, 2026.