Individual provider · Type 1 NPI

Hollister L. Jefferson, M.A., SAC-IT

Mental Health Counselor · West Bend, WI

NPI number 1053059592 Active

Practice location

400 W River Dr
West Bend, WI 53090-1518

Call (262) 334-4340 Map

Mailing address

6223 W Stevenson St
Milwaukee, WI 53213-4163

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X19467 (WI)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053059592

Hollister L. Jefferson, M.A., SAC-IT's National Provider Identifier is 1053059592, issued on May 24, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Bend, WI. The record was last updated on May 24, 2022.