MR. ANDREW JADCZAK


Address: 4929 W Fond Du Lac Avenue, Milwaukee, WI 53216
Phone: 4148716133

MR. ANDREW JADCZAK (NPI# 1881758639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881758639
Entity Type Individual
Full Name MR. ANDREW JADCZAK
Credential MA, LPC
Practice Address 4929 W Fond Du Lac Avenue
Milwaukee
WI 53216
Mailing Address 1629 N 49th St
Milwaukee
WI 53208-2254
Practice Telephone 4148716133
Practice Fax Number 4148712552
Enumeration Date 2006-12-19
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
3832-125 WI Behavioral Health & Social Service Providers

Office Location

Street Address 4929 W FOND DU LAC AVENUE
City MILWAUKEE
State WI
Zip Code 53216

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1043849698 Amanda Joann Degner Counselor 329 W National Ave Apt 2, Milwaukee, WI 53204-1702 2020-04-06
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1780235267 Toni W Pharm Counselor 8018 W Capitol Dr Ste 206, Milwaukee, WI 53222-1906 2019-09-25
1407417983 Damira Grady Counselor 11303 W Appleton Ln, Milwaukee, WI 53225-1200 2019-06-25
1265091664 Drew David Dryssen Counselor 8800 W Bluemound Rd, Milwaukee, WI 53226-4626 2019-06-10
1013574409 Patricia Michelle Carrington Counselor 1409 E Capitol Dr Ste 202, Milwaukee, WI 53211-1959 2019-05-22
1730647959 Andrea Renee Zulkowski Counselor 3732 W Wisconsin Ave Ste 320, Milwaukee, WI 53208-3166 2019-03-06
1831662063 Svenja Michela Rauchstaedt-schneider Counselor 5719 W Fountain Ave, Milwaukee, WI 53223-4227 2019-01-10
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Competitor

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City MILWAUKEE
Zip Code 53216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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