Individual provider · Type 1 NPI
Jacqueline Mae Halverson, ATR-BC AND SADC
Addiction (Substance Use Disorder) Counselor · Wauwatosa, WI
NPI number
1891992749
Active
Practice location
1233 N. Mayfair Rd, 206
Wauwatosa, WI 53226-3255
Fax (414) 302-1234
Mailing address
1714 S 55th St
West Milwaukee, WI 53214-5250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 63-036 (WI) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 11505-131 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1891992749
Jacqueline Mae Halverson, ATR-BC AND SADC's National Provider Identifier is 1891992749, issued on Jul 2, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wauwatosa, WI. The record was last updated on Sep 11, 2025.