Individual
ISAAC JAY HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-IT, CSAC
Contact information
Practice address
2000 W BLUEMOUND RD, WAUKESHA, WI 53186-2787
(262) 246-2732
(414) 246-2524
Mailing address
2000 W BLUEMOUND RD, WAUKESHA, WI 53186-2787
(262) 246-2732
(414) 246-2524
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16416-132
WI
101YP2500X
Professional Counselor
Primary
5335-226
WI
Other
Enumeration date
12/19/2018
Last updated
05/07/2026
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