Jesen Daniel
Jesen Daniel is a Mental Health Counselor in West Bend, Wisconsin. Qualified in 2012, 14 years ago. Practices with Affiliated Clinical Services Inc, a 22-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 14
- Licensed in
- WI
- In the registry since
- 2015
- Specialties on file
- 3
Practice location Address checks out
111 E Washington St Affiliated Clinical ServicesWest Bend, WI 53095
Phone: (262) 338-2717
Fax: (262) 338-9767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 5809 125 (WI) |
|---|---|
| Counselor | Taxonomy 101Y00000X · Licence 5809 125 (WI) |
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 5809 125 (WI) |
Record details
| NPI number | 1508230632 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 1, 2015 |
| Last updated in NPPES | December 1, 2015 |
| Mailing address | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Affiliated Clinical Services Inc — 22 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in West Bend
-
Tracy Lynn Barilani, SAC-IT
1626 Clarence Ct, West Bend, WI 53095-8533 · (262) 338-8611
-
Mrs. Chandell Angelica Hintzke, MS, SAC, LPC
400 W River Dr, West Bend, WI 53090-1518 · (262) 334-4340
-
MS. Jennifer Jo Laubenstein, MSED, LPC, CSAC
2395 W Washington St Ste 202, West Bend, WI 53095-2147 · (262) 689-9203
-
Devona Marshall, LPC
400 W River Dr, West Bend, WI 53090-1518 · (262) 334-4340
-
Linda Jeanne Martenet, LPCIT
400 W River Dr, West Bend, WI 53090-1518 · (262) 334-4340