Individual
MR. JEFFREY ALPHONSE SCHROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
210 MILWAUKEE AVE W, FORT ATKINSON, WI 53538-2022
(920) 568-5046
(920) 568-4004
Mailing address
210 MILWAUKEE AVE W, FORT ATKINSON, WI 53538
(920) 568-5046
(920) 568-4004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
385-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
385-132
WI STATE LICENSE NUMBER
WI
Enumeration date
02/27/2013
Last updated
02/28/2013
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