Individual
SEAN J. WASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CSAC
Contact information
Practice address
903 MINERAL POINT AVE, JANESVILLE, WI 53548-2970
(608) 756-5555
(608) 756-0174
Mailing address
903 MINERAL POINT AVE, JANESVILLE, WI 53548-2970
(608) 756-5555
(608) 756-0174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15771-132
WI
101YP2500X
Professional Counselor
Primary
6825-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689097958
—
WI
Enumeration date
01/22/2014
Last updated
05/07/2020
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