Individual provider · Type 1 NPI

Jessica Lange, M.A., LPC

Professional Counselor · Brookfield, WI

NPI number 1942508965 Active

Practice location

12720 W North Ave, Building B Suite 200
Brookfield, WI 53005-4637

Call (262) 285-1500 Map

Fax (262) 785-1555

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4525-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1942508965

Jessica Lange, M.A., LPC's National Provider Identifier is 1942508965, issued on Mar 1, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Brookfield, WI. The record was last updated on Feb 10, 2015.