| Doctor Name: | JESSICA DAWN MARIE COREY |
| NPI Number: | 1114285202 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 4720-125 |
| Business Practice Address: | 161 W Wisconsin Ave Pewaukee, WI - 530723467 |
| Business Phone Number: | 2626958857 |
| Business Fax Number: | 2626958879 |
| Mailing Address: | 2117 E Tripoli Ave, SAINT FRANCIS |
| State: | WI |
| Postal Code: | 532354146 |
| Phone Number: | 2626958857 |
| Fax Number: | 2626958879 |
| NPI Enumeration Date: | 04/26/2012 |
| NPI Last Update Date: | 04/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 4720-125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |