Individual
MISS JESSICA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, BS, MAFP, CSAC
Contact information
Practice address
230 W WELLS ST STE 312, MILWAUKEE, WI 53203-1837
(414) 344-3406
(414) 344-0107
Mailing address
230 W WELLS ST STE 312, MILWAUKEE, WI 53203-1837
(414) 344-3406
(414) 344-0107
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16009-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100055295
—
WI
Enumeration date
07/02/2014
Last updated
04/28/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us