Individual
MR. JASON JAMES UNRUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, CSAC
Contact information
Practice address
2319 W. CAPTIAL DR, MILWAUKEE, WI 53206-1919
(414) 442-2033
Mailing address
7408 W FERNWOOD CIR, APT.1, MILWAUKEE, WI 53219-3953
(414) 698-6024
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16153-132
WI
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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