Search › Wisconsin › 106S00000X
Jacob De Leon
NPI 1881412211 · on the registry since 2024
Practice
- Address
- 1499 6th St
Green Bay, WI 54304 - Phone
- (920) 498-0117
- Fax
- (888) 493-0117
- Organisation at this address
- Innovative Counseling Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 88
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Sex
- Male
- Record last updated
- 2024-10-03
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