person
Jack Basten
Mental Health Counselor in Platteville, Wisconsin
NPI 1962967315

Jack Basten is a Mental Health Counselor based in Platteville, WI and is specialized in Mental Health. Jack Basten practices in Platteville, WI. The NPI Number for Jack Basten is 1962967315 and holds a License No. (Wisconsin).

The current practice location address for Jack Basten is 1155 N Elm St Ste 120, Platteville, WI and can be reached out via phone at 608-348-4060.

Location: 1155 N Elm St Ste 120, Platteville, WI, 53818-1207
person
Provider Profile Details
NPI Number
1962967315
Provider Name
Jack Basten
Credential
Provider Entity Type
Individual
Gender
Male
Address
1155 N Elm St Ste 120, Platteville, WI, 53818-1207
Phone Number
608-348-4060
Fax Number
Provider Enumeration Date
02/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1155 N Elm St Ste 120
City
State
Zip
53818-1207
Phone Number
608-348-4060
Fax Number
person
Provider Business Mailing Address Details
Address
1155 N Elm St Ste 120
City
State
Zip
53818-1207
Phone Number
608-348-4060
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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