JASON JUGAN

WEST BEND, WI
NPI1164438891
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  11147)
Enumeration Date2006-08-01
Last Update Date2008-01-04
Business Address
JASON JUGAN CADC III, BS
1622 CHESTNUT ST
WEST BEND, WI 53095-3014
Phone number: 262-338-9498
Mailing Address
JASON JUGAN CADC III, BS
285 N JANACEK RD
BROOKFIELD, WI 53045-6102
Phone number: 262-641-9050