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Jack Basten
NPI 1962967315 · on the registry since 2019
Practice
- Address
- 1155 N Elm St Ste 120
Platteville, WI 53818 - Phone
- (608) 348-4060
- Organisation at this address
- Southwest Health Center, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Sex
- Male
- Record last updated
- 2019-02-08
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