person
Miss Jessica Larson, BS,BS,MAFP,CSAC
Addiction (Substance Use Disorder) Counselor in Milwaukee, Wisconsin
NPI 1104232800

Jessica Larson is an Addiction (Substance Use Disorder) Counselor based in Milwaukee, WI and is specialized in Addiction (Substance Use Disorder). Jessica Larson practices in Milwaukee, WI and has the professional credentials of BS,BS,MAFP,CSAC. The NPI Number for Jessica Larson is 1104232800 and holds a License No. 16009-132 (Wisconsin).

The current practice location address for Jessica Larson is 230 W Wells St Ste 312, Milwaukee, WI and can be reached out via phone at 414-344-3406 and via fax at 414-344-0107.

Location: 230 W Wells St Ste 312, Milwaukee, WI, 53203-1837
person
Provider Profile Details
NPI Number
1104232800
Provider Name
Jessica Larson
Credential
BS,BS,MAFP,CSAC
Provider Entity Type
Individual
Gender
Female
Address
230 W Wells St Ste 312, Milwaukee, WI, 53203-1837
Phone Number
414-344-3406
Fax Number
414-344-0107
Provider Enumeration Date
07/02/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100055295 05 WI
institution
Provider Business Practice Location Address Details
Address
230 W Wells St Ste 312
City
State
Zip
53203-1837
Phone Number
414-344-3406
Fax Number
414-344-0107
person
Provider Business Mailing Address Details
Address
230 W Wells St Ste 312
City
State
Zip
53203-1837
Phone Number
414-344-3406
Fax Number
414-344-0107
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
16009-132 (Wisconsin)
Definition
Definition to come...
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