Provider Demographics
NPI:1750931325
Name:TRIGGS, JONATHAN (LPC)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:TRIGGS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 KATHERINE DR
Mailing Address - Street 2:
Mailing Address - City:SUN PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53590-2467
Mailing Address - Country:US
Mailing Address - Phone:608-216-1313
Mailing Address - Fax:
Practice Address - Street 1:537 W MAIN ST STE 205
Practice Address - Street 2:
Practice Address - City:SUN PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53590-2879
Practice Address - Country:US
Practice Address - Phone:608-216-1313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-16
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health