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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEROME ALLEN LARSON, PSS

Active Sole Proprietor

JEROME ALLEN LARSON, PSS is a Peer Specialist healthcare provider located in MILWAUKEE, Wisconsin. NPI 1063055192 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · MILWAUKEE, WI

Registration Details

NPI Number
1063055192
Provider Type
Individual
Gender
Male
NPI Issued
Oct 22, 2019 (6.7840262055702 yrs)
Last Updated
Oct 22, 2019
Sole Proprietor
Yes

Practice Information

Address
3090 N 53RD ST
MILWAUKEE, WI, 532101617
Browse WI providers · Browse ZIP 53210
Phone
4142544291
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in MILWAUKEE, WI

Name Credential NPI
ANNETTE RENNA MCKNIGHT 1053833707
LATIA T JONES SAC, CPS 1295247302
ALICIA DANIELL GRIFFIN CPS 1720976640
ALYSIA L MULLINS PEER SPECIALIST 1730048307
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.