Susan Jost LLC

NPI #1447078654 in Shorewood, Wisconsin

Provider Information

NPI Number: 1447078654
Entity Type: Organization
Organization Name: Susan Jost LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 27, 2024
Last Updated: Sep 27, 2024

Practice Location

Address: 3970 N OAKLAND AVE STE 408
City: Shorewood
State: Wisconsin
ZIP Code: 53211-2265
Phone: (503) 329-1431

Authorized Official

Name: SUSAN JOST, LCSW
Title: OWNER
Phone: (503) 329-1431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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