Individual
JASON A CLIFFGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1173 W MAIN ST STE B, WHITEWATER, WI 53190-1672
(262) 458-2525
(262) 458-2680
Mailing address
1415 E HOLMES ST, JANESVILLE, WI 53545-4200
(262) 203-4630
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6695-125
WI
Other
Enumeration date
02/01/2022
Last updated
03/11/2022
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