Individual
JEFFERY CONJURSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
5005 VISTA RD, MANITOWOC, WI 54220-9377
(920) 663-1035
Mailing address
3 RIVERVIEW DR, MANITOWOC, WI 54220-3767
(920) 663-1035
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20792130
WI
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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