JASON JAMES UNRUH

MILWAUKEE, WI
NPI1386177491
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16153-132)
Enumeration Date2017-04-05
Last Update Date2017-04-05
Business Address
Mr. JASON JAMES UNRUH BS, CSAC
2319 W. CAPTIAL DR
MILWAUKEE, WI 53206-1919
Phone number: 414-442-2033
Mailing Address
Mr. JASON JAMES UNRUH BS, CSAC
7408 W FERNWOOD CIR APT.1
MILWAUKEE, WI 53219-3953
Phone number: 414-698-6024
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