Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hollister L Jefferson, MA, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053059592

Hollister L Jefferson, MA, SAC-IT is an Addiction (Substance Use Disorder) Counselor in West Bend, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2022
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

400 W River Dr
West Bend, WI 53090-1518
Phone: (262) 334-4340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 19467 (WI)

Record details

NPI number1053059592
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , SAC-IT
Sole proprietorYes
NPI enumeratedMay 24, 2022
Last updated in NPPESMay 24, 2022
Certification dateMay 24, 2022

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