Individual
JEFFERY WHITFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 W SUNNY LN, JANESVILLE, WI 53546-9091
(608) 741-4515
(608) 741-4516
Mailing address
203 W SUNNY LN, JANESVILLE, WI 53546-9091
(608) 741-4515
(608) 741-4516
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15536-132
WI
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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