Charboneau, Jordan

Charboneau, Jordan is an sole proprietor health care provider with primary practice located at 561 N 15Th St Marquette University 7Cs Community Counseling Clinics, Milwaukee WI 53233-2237. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Charboneau, Jordan can be contacted via phone (414) 288-5889.

Contact Information

Primary practice address
561 N 15Th St Marquette University 7Cs Community Counseling Clinics Milwaukee WI 53233-2237
Phone: (414) 288-5889
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1720263577
LBN Legal business name Charboneau, Jordan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2007
Last updated Jan 6th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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