Individual provider · Type 1 NPI
Adalia Maritza Jansen, MAC
Mental Health Counselor · Appleton, WI
NPI number
1972915700
Active
Practice location
3701 E Evergreen Dr Ste 260
Appleton, WI 54913-7402
Mailing address
PO Box 1555
Appleton, WI 54912-1555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1972915700
Adalia Maritza Jansen, MAC's National Provider Identifier is 1972915700, issued on May 28, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Appleton, WI. The record was last updated on May 28, 2014.