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Contact Information

JESEN DANIEL
111 EAST WASHINGTON ST
AFFILIATED CLINICAL SERVICES
WEST BEND, WI53095
 Phone: 262-338-2717
 Fax: 262-338-9767
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for JESEN DANIEL · (Female)

NPI # 1508230632
Status Active
Credentials
Entity Individual
Enumeration date 12/01/2015
Last updated 12/01/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 5809 125
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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