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Mr. Jon T Tolliver, CSAC
Counselor in Hayward, Wisconsin
NPI 1457572315

Jon T Tolliver is a Counselor based in Ashland, WI. Jon T Tolliver practices in Hayward, WI and has the professional credentials of CSAC. The NPI Number for Jon T Tolliver is 1457572315 and holds a License No. 197 (Wisconsin).

The current practice location address for Jon T Tolliver is 13380 W Trepania Rd, Hayward, WI and can be reached out via phone at 715-638-5107.

Location: 13380 W Trepania Rd, Hayward, WI, 54806-1084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457572315
Provider Name
Jon T Tolliver
Credential
CSAC
Provider Entity Type
Individual
Gender
Male
Address
13380 W Trepania Rd, Hayward, WI, 54806-1084
Phone Number
715-638-5107
Fax Number
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39395500 05 WI
institution
Provider Business Practice Location Address Details
Address
13380 W Trepania Rd
City
Hayward
State
Wisconsin
Zip
54843-2186
Phone Number
715-638-5107
Fax Number
person
Provider Business Mailing Address Details
Address
13380 W Trepania Rd
City
Hayward
State
Wisconsin
Zip
54843-2186
Phone Number
715-638-5107
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
197 (Wisconsin)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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