Individual
JESSICA MATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
9910 W LAYTON AVE, SUITE #2, GREENFIELD, WI 53228-3363
(414) 427-4884
Mailing address
9910 W LAYTON AVE, SUITE #2, GREENFIELD, WI 53228-3363
(414) 427-4884
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17136-130
WI
Other
Enumeration date
08/17/2014
Last updated
08/17/2014
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