Individual
JORDAN CHARBONEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
561 N 15TH ST, MARQUETTE UNIVERSITY 7CS COMMUNITY COUNSELING CLINICS, MILWAUKEE, WI 53233-2237
(414) 288-5889
Mailing address
561 N 15TH ST, RM 150, MILWAUKEE, WI 53233-2237
(414) 288-4556
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/28/2007
Last updated
01/06/2010
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