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Individual
JONAH MICAL ANDERSON
Active
Individual
JONAH MICAL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, MA, CSAT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
559767
WI
101YM0800X
Mental Health Counselor
559767
WI
101YP2500X
Professional Counselor
Primary
8529
WI
Other
Enumeration date
07/29/2018
Last updated
09/25/2025
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