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Individual
MS. JACQUELINE MAE HALVERSON
Active
Individual
MS. JACQUELINE MAE HALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC AND SADC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
63-036
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11505-131
WI
Other
Enumeration date
07/02/2007
Last updated
09/11/2025
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