Jessica Dallman, MA, LPC NCC is a
Counselor - Mental Health based in Mount Horeb, Wisconsin. Jessica Dallman is licensed to practice in Wisconsin (license number 6985-125) and her current practice location is
1523 Wisconsin 78 Trunk, Mount Horeb, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(701) 870-0022.
NPI number for Jessica Dallman is 1780059238 and her current mailing address is 1523 Wisconsin 78 Trunk, Mount Horeb, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780059238.
Healthcare Provider's Profile
Full Name | Jessica Dallman |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1523 Wisconsin 78 Trunk, Mount Horeb, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780059238
- Provider Enumeration Date: 12/09/2015
- Last Update Date: 05/18/2020
Medical Identifiers
Medical identifiers for Jessica Dallman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780059238 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 0014141 (Colorado) | Secondary |
101YM0800X | Counselor - Mental Health | 6985-125 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Dallman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica Dallman, MA, LPC NCC 1523 Wisconsin 78 Trunk, Mount Horeb, WI 53572 Ph: (701) 870-0022 | Jessica Dallman, MA, LPC NCC 1523 Wisconsin 78 Trunk, Mount Horeb, WI 53572 Ph: (701) 870-0022 |
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