Search › Wisconsin › 101YM0800X
Hollister Jefferson, M.A., SAC-IT
NPI 1053059592 · on the registry since 2022 · sole proprietor
Practice
- Address
- 400 W River Dr
West Bend, WI 53090 - Phone
- (262) 334-4340
- Organisation at this address
- Kettle Moraine Counseling Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 46
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin