NPI 1700121712

Jessica Behagen, LMFT

Practitioner Marriage & Family Therapist West Allis, WI

Practice location

Address: 6737 W Washington St Suite 4225, West Allis, WI 53214-5647
Phone: (414) 604-5722
Mailing address: 10942 W Wildwood Ln #c206, West Allis, WI 53227-4072

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 900-124 (WI)

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Registry record

NPI: 1700121712
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Dec 2012
Record last updated: 2 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.