person
Jonah Mical Anderson, LPC,MA,CSAT
Professional Counselor in Hartland, Wisconsin
NPI 1972081347

Jonah Mical Anderson is a Professional Counselor based in Wauwatosa, WI and is specialized in Professional. Jonah Mical Anderson practices in Hartland, WI and has the professional credentials of LPC,MA,CSAT. The NPI Number for Jonah Mical Anderson is 1972081347 and holds a License No. 559767 (Wisconsin).

The current practice location address for Jonah Mical Anderson is 300 Cottonwood Ave Ste 8, Hartland, WI and can be reached out via phone at 262-302-0016.

Location: 300 Cottonwood Ave Ste 8, Hartland, WI, 53226-3937
person
Provider Profile Details
NPI Number
1972081347
Provider Name
Jonah Mical Anderson
Credential
LPC,MA,CSAT
Provider Entity Type
Individual
Gender
Male
Address
300 Cottonwood Ave Ste 8, Hartland, WI, 53226-3937
Phone Number
262-302-0016
Fax Number
Provider Enumeration Date
07/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Cottonwood Ave Ste 8
City
State
Zip
53029-2043
Phone Number
262-302-0016
Fax Number
person
Provider Business Mailing Address Details
Address
300 Cottonwood Ave Ste 8
City
State
Zip
53029-2043
Phone Number
262-302-0016
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
559767 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
559767 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
559767 (Wisconsin)
Definition
Definition to come...
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