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

Mr. Jasen Alan Eberhardt, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1376021782

Mr. Jasen Alan Eberhardt, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Waukesha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2018.

Licensed in
WI
In the registry since
2018

Practice location Address checks out

223 Wisconsin Ave Ste B
Waukesha, WI 53186-4968
Phone: (262) 701-7257
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 18552-130 (WI)

Record details

NPI number1376021782
Entity typeIndividual (Type 1)
GenderMale
Credentials SAC-IT
Sole proprietorNo
NPI enumeratedJuly 30, 2018
Last updated in NPPESJuly 30, 2018

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