Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Dernek, LPC-IT

Individual provider Professional Counselor · NPI 1841714797

Jacqueline Dernek, LPC-IT is a Professional Counselor in Brown Deer, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2017.

Licensed in
WI
In the registry since
2017

Practice location Address checks out

3900 W Brown Deer Rd Ste 200
Brown Deer, WI 53209-1220
Phone: (414) 540-2170
Fax: (414) 540-2171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2677-226 (WI)

Record details

NPI number1841714797
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-IT
Sole proprietorNo
NPI enumeratedAugust 2, 2017
Last updated in NPPESAugust 2, 2017

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