| Doctor Name: | JACQUELINE KUESTER |
| NPI Number: | 1386056166 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 16536-130 |
| Business Practice Address: | 1104 21st St Ste E Reedsburg, WI - 539591156 |
| Business Phone Number: | 6087684545 |
| Business Fax Number: | 6087684646 |
| Mailing Address: | 1550 W Pine St Apt 505, BARABOO |
| State: | WI |
| Postal Code: | 539139515 |
| Phone Number: | 2243308092 |
| Fax Number: | 6087684646 |
| NPI Enumeration Date: | 05/28/2014 |
| NPI Last Update Date: | 05/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 16536-130 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |