Individual
JACQUELINE CLAUSIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CATS III
Contact information
Practice address
3732 W WISCONSIN AVE, MILWAUKEE, WI 53208-3166
(414) 290-0440
Mailing address
3732 W WISCONSIN AVE, MILWAUKEE, WI 53208-3166
(414) 290-0440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
081638
CA
106H00000X
Marriage & Family Therapist
Primary
1321-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649316910
DRUG MEDICAL
CA
Enumeration date
08/01/2013
Last updated
10/24/2020
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