Individual provider · Type 1 NPI

Jesse Robert Jastram, LPC

Professional Counselor · Milwaukee, WI

NPI number 1457713570 Active

Practice location

2266 N Prospect Ave Ste 304
Milwaukee, WI 53202-6306

Mailing address

N57W517 Hilbert Ave, #10
Cedarburg, WI 53012-2044

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1457713570

Jesse Robert Jastram, LPC's National Provider Identifier is 1457713570, issued on Mar 28, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Milwaukee, WI. The record was last updated on Apr 12, 2021.