Individual
CAREY SHEA JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
8901 W CAPITOL DR, MILWAUKEE, WI 53222-1706
(414) 463-1880
(414) 463-2770
Mailing address
8901 W CAPITOL DR, MILWAUKEE, WI 53222-1706
(414) 463-1880
(414) 463-2770
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4292-125
WI
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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