Individual provider · Type 1 NPI

Jesen Daniel

Professional Counselor · West Bend, WI

NPI number 1508230632 Active

Practice location

111 East Washington St, Affiliated Clinical Services
West Bend, WI 53095

Call (262) 338-2717 Map

Fax (262) 338-9767

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X5809 125 (WI)
Addiction (Substance Use Disorder) Counselor 101YA0400X5809 125 (WI)
Professional Counselor Primary 101YP2500X5809 125 (WI)

Professional Counselor: Definition to come...

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About NPI 1508230632

Jesen Daniel's National Provider Identifier is 1508230632, issued on Dec 1, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in West Bend, WI. The record was last updated on Dec 1, 2015.