JASEN ALAN EBERHARDT

WAUKESHA, WI
NPI1376021782
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  18552-130)
Enumeration Date2018-07-30
Last Update Date2018-07-30
Business Address
Mr. JASEN ALAN EBERHARDT SAC-IT
223 WISCONSIN AVE STE B
WAUKESHA, WI 53186-4968
Phone number: 262-701-7257
Mailing Address
Mr. JASEN ALAN EBERHARDT SAC-IT
223 WISCONSIN AVE STE B
WAUKESHA, WI 53186-4968
Phone number: 262-701-7257
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