Provider Demographics
NPI:1356116701
Name:DREWS, JESSICA HELEN (MSE, LPC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:HELEN
Last Name:DREWS
Suffix:
Gender:F
Credentials:MSE, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2792 MAYFLOWER RD
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54311-6589
Mailing Address - Country:US
Mailing Address - Phone:920-450-7283
Mailing Address - Fax:
Practice Address - Street 1:301 N BROADWAY STE 110
Practice Address - Street 2:
Practice Address - City:DE PERE
Practice Address - State:WI
Practice Address - Zip Code:54115-2557
Practice Address - Country:US
Practice Address - Phone:920-425-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6270-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health