Search › Wisconsin › 1041C0700X
Jerrold Rousseau, MSSW, LCSW
NPI 1992915177 · on the registry since 2007 · sole proprietor
Practice
- Address
- 6270 N Port Washington Rd
Suite 201
Glendale, WI 53217 - Phone
- (414) 962-2284
- Organisation at this address
- Glen Haven Counseling Clinic
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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