Individual
MS. JACQUELINE MAE HALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC AND SADC
Contact information
Practice address
1233 N. MAYFAIR RD, 206, WAUWATOSA, WI 53226-3255
(414) 302-1233
(414) 302-1234
Mailing address
1714 S 55TH ST, W MILWAUKEE, WI 53214-5250
(414) 546-1922
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
63-036
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11505-131
WI
Other
Enumeration date
07/02/2007
Last updated
09/11/2025
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