JAMIE THEISEN

GREEN BAY, WI
NPI1154994382
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  19237-130)
Enumeration Date2021-07-24
Last Update Date2021-07-24
Business Address
JAMIE THEISEN SAC-IT
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740
Mailing Address
JAMIE THEISEN SAC-IT
2357 W MASON ST
GREEN BAY, WI 54303-4708
Phone number: 920-337-6740
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