Individual provider · Type 1 NPI
Jesse Robert Daso, LPC, SAC
Professional Counselor · Mequon, WI
NPI number
1114405248
Active
Practice location
1615 W Zedler Ln
Mequon, WI 53092-5426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16240-131 (WI) |
| Professional Counselor Primary | 101YP2500X | 6926-125 (WI) |
Professional Counselor: Definition to come...
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About NPI 1114405248
Jesse Robert Daso, LPC, SAC's National Provider Identifier is 1114405248, issued on Jul 31, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mequon, WI. The record was last updated on Jul 31, 2018.