person
Alexander Jeske
Mental Health Counselor in West Allis, Wisconsin
NPI 1194101550

Alexander Jeske is a Mental Health Counselor based in Chicago, WI and is specialized in Mental Health. Alexander Jeske practices in West Allis, WI. The NPI Number for Alexander Jeske is 1194101550 and holds a License No. 5739-125 (Wisconsin).

The current practice location address for Alexander Jeske is 2424 S 90Th St, West Allis, WI and can be reached out via phone at 414-773-4312 and via fax at 414-329-5637.

Location: 2424 S 90Th St, West Allis, WI, 60673-5044
person
Provider Profile Details
NPI Number
1194101550
Provider Name
Alexander Jeske
Credential
Provider Entity Type
Individual
Gender
Male
Address
2424 S 90Th St, West Allis, WI, 60673-5044
Phone Number
414-773-4312
Fax Number
414-329-5637
Provider Enumeration Date
08/07/2015
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100245738 05 WI
institution
Provider Business Practice Location Address Details
Address
2424 S 90Th St
City
State
Zip
53227-2455
Phone Number
414-773-4312
Fax Number
414-329-5637
person
Provider Business Mailing Address Details
Address
2424 S 90Th St
City
State
Zip
53227-2455
Phone Number
414-773-4312
Fax Number
414-329-5637
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5739 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5739-125 (Wisconsin)
Definition
Definition to come...
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