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Mr. Jacob M Mecca-guillien, SAC-IT,LPC
Professional Counselor in Mukwonago, Wisconsin
NPI 1033687090

Jacob M Mecca-guillien is a Professional Counselor based in Mukwonago, WI and is specialized in Professional. Jacob M Mecca-guillien practices in Mukwonago, WI and has the professional credentials of SAC-IT,LPC. The NPI Number for Jacob M Mecca-guillien is 1033687090 and holds a License No. 4208-226 (Wisconsin).

The current practice location address for Jacob M Mecca-guillien is 400 Bay View Rd Ste C, Mukwonago, WI and can be reached out via phone at 622-789-1191.

Location: 400 Bay View Rd Ste C, Mukwonago, WI, 53149-1770
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033687090
Provider Name
Jacob M Mecca-guillien
Credential
SAC-IT,LPC
Provider Entity Type
Individual
Gender
Male
Address
400 Bay View Rd Ste C, Mukwonago, WI, 53149-1770
Phone Number
622-789-1191
Fax Number
Provider Enumeration Date
11/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 Bay View Rd Ste C
City
Mukwonago
State
Wisconsin
Zip
53149-1770
Phone Number
622-789-1191
Fax Number
person
Provider Business Mailing Address Details
Address
400 Bay View Rd Ste C
City
Mukwonago
State
Wisconsin
Zip
53149-1770
Phone Number
622-789-1191
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
8241-125 (Wisconsin)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
18715-130 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
4208-226 (Wisconsin)
Definition
Definition to come...
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