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

Individual provider Professional Counselor · NPI 1457713570

Jesse Robert Jastram, LPC is a Professional Counselor in Milwaukee, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2266 N Prospect Ave Ste 304
Milwaukee, WI 53202-6306
Phone: (414) 379-8984
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Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1457713570
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedMarch 28, 2016
Last updated in NPPESApril 12, 2021
Certification dateMarch 23, 2021
Mailing addressN57w517 Hilbert Ave, 10, Cedarburg, WI 53012-2044

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