Organization
SAFE HARBOR HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN SUE SLESAREVA (DIRECTOR)
(608) 845-2081
Entity
Organization
Contact information
Practice address
524 W VERONA AVE STE 105, VERONA, WI 53593-1443
(608) 845-2081
Mailing address
524 W VERONA AVE STE 105, VERONA, WI 53593-1443
(608) 845-2081
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100093506
—
WI
Enumeration date
03/25/2021
Last updated
02/05/2026
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