Hollister L Jefferson, M.A., SAC-IT

NPI #1053059592 in West Bend, Wisconsin

Provider Information

NPI Number
1053059592
Entity Type
Individual
Name
Hollister L Jefferson, M.A., SAC-IT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
M.A., SAC-IT
Enumeration Date
May 24, 2022
Last Updated
May 24, 2022

Practice Location

Address
400 W RIVER DR
ZIP Code
53090-1518
Phone
(262) 334-4340

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - Mental HealthMental Health

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