Provider Demographics
NPI:1063088045
Name:PLISZKA, JESSICA (MS, NCC, LPC-IT)
Entity type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:
Last Name:PLISZKA
Suffix:
Gender:F
Credentials:MS, NCC, LPC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:S81W17620 BRENNAN DR
Mailing Address - Street 2:
Mailing Address - City:MUSKEGO
Mailing Address - State:WI
Mailing Address - Zip Code:53150-8028
Mailing Address - Country:US
Mailing Address - Phone:414-403-5092
Mailing Address - Fax:
Practice Address - Street 1:10425 W NORTH AVE STE 312
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-2416
Practice Address - Country:US
Practice Address - Phone:414-248-0064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-01
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4969226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional