Individual provider · Type 1 NPI

Jenna Marie Jackson, SAC-IT

Addiction (Substance Use Disorder) Counselor · Waukesha, WI

NPI number 1003628603 Active

Practice location

1501 Airport Rd
Waukesha, WI 53188-2461

Call (262) 548-7666 Map

Mailing address

N961 Fox Run Ln Apt 5
Oconomowoc, WI 53066-9587

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20708-130 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003628603

Jenna Marie Jackson, SAC-IT's National Provider Identifier is 1003628603, issued on Jan 22, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waukesha, WI. The record was last updated on Jan 22, 2025.