Jordan Koconis-O'Malley

NPI 1730980186 · on the registry since 2025 · sole proprietor

Practice

Address: 3732 W Wisconsin Ave Ste 200
Milwaukee, WI 53208
Phone: (414) 416-2538
Organisation at this address: Wisconsin Community Services Inc.
Wisconsin Community Services Inc.
Grassroots Empowerment Project Inc
Wisconsin Community Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-03-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin