Individual
JESSE ROBERT JASTRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2266 N PROSPECT AVE STE 304, MILWAUKEE, WI 53202-6306
(414) 379-8984
Mailing address
N57W517 HILBERT AVE, #10, CEDARBURG, WI 53012-2044
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/28/2016
Last updated
04/12/2021
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