person
Shaquan L Jefferson
Mental Health Counselor in Brown Deer, Wisconsin
NPI 1245956424

Shaquan L Jefferson is a Mental Health Counselor based in Brown Deer, WI and is specialized in Mental Health. Shaquan L Jefferson practices in Brown Deer, WI. The NPI Number for Shaquan L Jefferson is 1245956424 and holds a License No. 5428-226 (Wisconsin).

The current practice location address for Shaquan L Jefferson is 5600 W Brown Deer Rd, Brown Deer, WI and can be reached out via phone at 414-446-8154.

Location: 5600 W Brown Deer Rd, Brown Deer, WI, 53223-2311
person
Provider Profile Details
NPI Number
1245956424
Provider Name
Shaquan L Jefferson
Credential
Provider Entity Type
Individual
Gender
Female
Address
5600 W Brown Deer Rd, Brown Deer, WI, 53223-2311
Phone Number
414-446-8154
Fax Number
Provider Enumeration Date
10/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5600 W Brown Deer Rd
City
State
Zip
53223-2311
Phone Number
414-446-8154
Fax Number
person
Provider Business Mailing Address Details
Address
5600 W Brown Deer Rd
City
State
Zip
53223-2311
Phone Number
414-446-8154
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5428-226 (Wisconsin)
Definition
Definition to come...
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