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Jerome Allen Larson, PSS
Peer Specialist in Milwaukee, Wisconsin
NPI 1063055192

Jerome Allen Larson is a Peer Specialist based in Milwaukee, WI. Jerome Allen Larson practices in Milwaukee, WI and has the professional credentials of PSS. The NPI Number for Jerome Allen Larson is 1063055192 and holds a License No. (Wisconsin).

The current practice location address for Jerome Allen Larson is 3090 N 53Rd St, Milwaukee, WI and can be reached out via phone at 414-254-4291.

Location: 3090 N 53Rd St, Milwaukee, WI, 53210-1617
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Provider Profile Details
NPI Number
1063055192
Provider Name
Jerome Allen Larson
Credential
PSS
Provider Entity Type
Individual
Gender
Male
Address
3090 N 53Rd St, Milwaukee, WI, 53210-1617
Phone Number
414-254-4291
Fax Number
Provider Enumeration Date
10/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3090 N 53Rd St
City
State
Zip
53210-1617
Phone Number
414-254-4291
Fax Number
person
Provider Business Mailing Address Details
Address
3090 N 53Rd St
City
State
Zip
53210-1617
Phone Number
414-254-4291
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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