JORDAN CHARBONEAU

MILWAUKEE, WI
NPI1720263577
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2007-12-28
Last Update Date2010-01-06
Business Address
-- JORDAN CHARBONEAU
561 N 15TH ST MARQUETTE UNIVERSITY 7CS COMMUNITY COUNSELING CLINICS
MILWAUKEE, WI 53233-2237
Phone number: 414-288-5889
Mailing Address
-- JORDAN CHARBONEAU
561 N 15TH ST RM 150
MILWAUKEE, WI 53233-2237
Phone number: 414-288-4556
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