person
Mr. Jasen Alan Eberhardt, SAC-IT
Addiction (Substance Use Disorder) Counselor in Waukesha, Wisconsin
NPI 1376021782

Jasen Alan Eberhardt is an Addiction (Substance Use Disorder) Counselor based in Waukesha, WI and is specialized in Addiction (Substance Use Disorder). Jasen Alan Eberhardt practices in Waukesha, WI and has the professional credentials of SAC-IT. The NPI Number for Jasen Alan Eberhardt is 1376021782 and holds a License No. 18552-130 (Wisconsin).

The current practice location address for Jasen Alan Eberhardt is 223 Wisconsin Ave Ste B, Waukesha, WI and can be reached out via phone at 262-701-7257.

Location: 223 Wisconsin Ave Ste B, Waukesha, WI, 53186-4968
person
Provider Profile Details
NPI Number
1376021782
Provider Name
Jasen Alan Eberhardt
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Male
Address
223 Wisconsin Ave Ste B, Waukesha, WI, 53186-4968
Phone Number
262-701-7257
Fax Number
Provider Enumeration Date
07/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
223 Wisconsin Ave Ste B
City
State
Zip
53186-4968
Phone Number
262-701-7257
Fax Number
person
Provider Business Mailing Address Details
Address
223 Wisconsin Ave Ste B
City
State
Zip
53186-4968
Phone Number
262-701-7257
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
18552-130 (Wisconsin)
Definition
Definition to come...
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