Most Relevant Information
Provider Data
| NPI Number: | 1003592171 |
| Provider Name: | JAMIE LYAN TEISSONNIERE RAMIREZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 20056-130 |
Most Important Dates
| Enumeration Date: | 06/23/2023 |
| Last Updated: | 06/23/2023 |
Provider Practice Location
1111 S 6TH ST
MILWAUKEE
WI
532042301
Practice Location Phone/Fax
| Phone: | 4146438530 |
| Fax: |
Provider Mailing Location
1529 S 12TH ST
MILWAUKEE
WI
532042735
Provider Mailing Phone/Fax
| Phone: | 4145223316 |
| Fax: |