Individual
MS. CHARISSA ANN JESKE-MAHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
E23968 POWWOW TRL, WATERSMEET, MI 49969-0249
(906) 358-0252
(906) 358-0254
Mailing address
PO BOX 249, WATERSMEET, MI 49969-0249
(906) 358-0252
(906) 358-0254
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2-01112
MI
1041C0700X
Clinical Social Worker
Primary
6801089971
MI
Other
Enumeration date
05/11/2012
Last updated
04/03/2024
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