Individual
JACQUELINE KUESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 21ST ST STE E, REEDSBURG, WI 53959-1156
(608) 768-4545
(608) 768-4646
Mailing address
1550 W PINE ST APT 505, BARABOO, WI 53913-9515
(224) 330-8092
(608) 768-4646
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16536-130
WI
101YM0800X
Mental Health Counselor
Primary
1950-226
WI
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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