Individual
JEFFREY A TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2319 W CAPITOL DR, MILWAUKEE, WI 53206-1919
(414) 442-2033
(414) 442-2167
Mailing address
2319 W CAPITOL DR, MILWAUKEE, WI 53206-1919
(414) 442-2033
(414) 442-2167
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17827
WI
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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