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Ms. Jacqueline Mae Halverson, ATR-BCANDSADC
Addiction (Substance Use Disorder) Counselor in Wauwatosa, Wisconsin
NPI 1891992749

Jacqueline Mae Halverson is an Addiction (Substance Use Disorder) Counselor based in W Milwaukee, WI and is specialized in Addiction (Substance Use Disorder). Jacqueline Mae Halverson practices in Wauwatosa, WI and has the professional credentials of ATR-BCANDSADC. The NPI Number for Jacqueline Mae Halverson is 1891992749 and holds a License No. 63-036 (Wisconsin).

The current practice location address for Jacqueline Mae Halverson is 1233 N. Mayfair Rd, Wauwatosa, WI and can be reached out via phone at 414-302-1233 and via fax at 414-302-1234.

Location: 1233 N. Mayfair Rd, Wauwatosa, WI, 53214-5250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891992749
Provider Name
Jacqueline Mae Halverson
Credential
ATR-BCANDSADC
Provider Entity Type
Individual
Gender
Female
Address
1233 N. Mayfair Rd, Wauwatosa, WI, 53214-5250
Phone Number
414-302-1233
Fax Number
414-302-1234
Provider Enumeration Date
07/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1233 N. Mayfair Rd
City
Wauwatosa
State
Wisconsin
Zip
53226-3255
Phone Number
414-302-1233
Fax Number
414-302-1234
person
Provider Business Mailing Address Details
Address
1233 N. Mayfair Rd
City
Wauwatosa
State
Wisconsin
Zip
53226-3255
Phone Number
414-302-1233
Fax Number
414-302-1234
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
11505-131 (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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
63-036 (Wisconsin)
Definition
Definition to come...
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