Jordan Charboneau
Jordan Charboneau is a Counselor in Milwaukee, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
561 N 15th St Marquette University 7CS Community Counseling ClinicsMilwaukee, WI 53233-2237
Phone: (414) 288-5889
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1720263577 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 28, 2007 |
| Last updated in NPPES | January 6, 2010 |
| Mailing address | 561 N 15th St, Rm 150, Milwaukee, WI 53233-2237 |
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