| Doctor Name: | JO ANN HUSSLEIN |
| NPI Number: | 1508882366 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 3353-125 |
| Business Practice Address: | 12970 W Bluemound Rd Suite 105 Elm Grove, WI - 531222607 |
| Business Phone Number: | 2627872904 |
| Business Fax Number: | 2627872909 |
| Mailing Address: | 4817 State Road 144, SLINGER |
| State: | WI |
| Postal Code: | 530869526 |
| Phone Number: | 2626441161 |
| Fax Number: | 2627872909 |
| NPI Enumeration Date: | 07/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 3353-125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |