Individual provider · Type 1 NPI
Jessica Larson, BS, BS, MAFP, CSAC
Addiction (Substance Use Disorder) Counselor · Milwaukee, WI
NPI number
1104232800
Active
Practice location
230 W Wells St Ste 312
Milwaukee, WI 53203-1837
Fax (414) 344-0107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 16009-132 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1104232800
Jessica Larson, BS, BS, MAFP, CSAC's National Provider Identifier is 1104232800, issued on Jul 2, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milwaukee, WI. The record was last updated on Apr 28, 2016.