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Individual

JONAH MICAL ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, MA, CSAT

Contact information

Practice address
300 COTTONWOOD AVE STE 8, HARTLAND, WI 53029-2043
(262) 302-0016
Mailing address
11632 W BLUEMOUND RD, WAUWATOSA, WI 53226-3937
(262) 302-0016
(608) 509-7310

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
559767
WI
101YM0800X
Mental Health Counselor
559767
WI
101YP2500X
Professional Counselor
Primary
8529
WI

Other

Enumeration date
07/29/2018
Last updated
09/25/2025
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