MR. Jacob M Mecca-Guillien, SAC-IT, LPC

NPI #1033687090 in Mukwonago, Wisconsin

Provider Information

NPI Number
1033687090
Entity Type
Individual
Name
MR. Jacob M Mecca-Guillien, SAC-IT, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
SAC-IT, LPC
Enumeration Date
Nov 8, 2018
Last Updated
Apr 19, 2022

Practice Location

Address
400 BAY VIEW RD STE C
ZIP Code
53149-1770
Phone
(622) 789-1191

Specialties & Taxonomy Codes

Specialty
Counselor
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - ProfessionalProfessional

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