NPI Index

JESEN DANIEL

Counselor - Professional

Active Individual
NPI: 1508230632

Practice Address

111 EAST WASHINGTON ST
AFFILIATED CLINICAL SERVICES
West Bend, WI 53095

Phone: (262) 338-2717

Specialties

Specialty Code Primary License
Counselor 101Y00000X No 5809 125 (WI)
Counselor - Addiction (Substance Use Disorder) 101YA0400X No 5809 125 (WI)
Counselor - Professional 101YP2500X Yes 5809 125 (WI)

Frequently Asked Questions

NPI 1508230632 is the National Provider Identifier for JESEN DANIEL, a Counselor - Professional provider located in West Bend, WI. This NPI was enumerated on December 1, 2015.
JESEN DANIEL practices at 111 EAST WASHINGTON ST, AFFILIATED CLINICAL SERVICES, West Bend, WI 53095.

Quick Facts

NPI
1508230632
Type
Individual
Enumerated
Dec 1, 2015
Last Updated
Dec 1, 2015

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