Hollister L Jefferson, MA, SAC-IT - Counselor in West Bend, WI

Hollister L Jefferson, MA, SAC-IT is a Counselor - Mental Health based in West Bend, Wisconsin. Hollister L Jefferson is licensed to practice in Wisconsin (license number ) and her current practice location is 400 W River Dr, West Bend, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 334-4340.

NPI number for Hollister L Jefferson is 1053059592 and her current mailing address is 6223 W Stevenson St, Milwaukee, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053059592.

Contact Information

Hollister L Jefferson, MA, SAC-IT
400 W River Dr,
West Bend, WI 53090-1518
(262) 334-4340
Not Available

Healthcare Provider's Profile

Full NameHollister L Jefferson
GenderFemale
SpecialityCounselor - Mental Health
Location400 W River Dr, West Bend, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053059592
  • Provider Enumeration Date: 05/24/2022
  • Last Update Date: 05/24/2022

Medical Identifiers

Medical identifiers for Hollister L Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053059592NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 19467 (Wisconsin)Secondary
101YM0800XCounselor - Mental Health (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Hollister L Jefferson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Hollister L Jefferson, MA, SAC-IT
6223 W Stevenson St,
Milwaukee, WI 53213-4163

Ph: (414) 587-2212
Hollister L Jefferson, MA, SAC-IT
400 W River Dr,
West Bend, WI 53090-1518

Ph: (262) 334-4340

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› Verified 3 days ago


Counselor in West Bend, WI

Ms. Ashley Elizabeth Birkholz, CAPSW, SAC
Counselor
Medicare: Accepting Medicare Assignments
Practice Location: 1626 Clarence Ct, West Bend, WI 53095
Phone: 262-338-8611    Fax: 262-338-3367
Renee M Janusz, CSAC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 333 E Washington St Ste 2000, West Bend, WI 53095
Phone: 262-335-4545    Fax: 262-335-6827
William James Skalecki,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 120 N Main St Ste 110, West Bend, WI 53095
Phone: 262-707-3052    
Jennifer Ryan, SAC-IT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1626 Clarence Ct, West Bend, WI 53095
Phone: 262-338-8611    
Jonathan France, LPC, SAC-IT
Counselor
Medicare: Medicare Enrolled
Practice Location: 333 E Washington St Ste 2100, West Bend, WI 53095
Phone: 262-365-6563    Fax: 262-365-6559
Leah Matthews, LCSW, CSAC
Counselor
Medicare: Accepting Medicare Assignments
Practice Location: 1626 Clarence Ct, West Bend, WI 53095
Phone: 262-338-8611    

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