Individual provider · Type 1 NPI

Nicole L. Jackson, CSAC, ICS, LPC-IT

Professional Counselor · Milwaukee, WI

NPI number 1144489261 Active

Practice location

6815 W Capitol Dr Ste 304
Milwaukee, WI 53216-2056

Call (414) 604-6488 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X15477-135
Addiction (Substance Use Disorder) Counselor 101YA0400X15137-132 (WI)
Mental Health Counselor 101YM0800X638-226 (WI)
Professional Counselor Primary 101YP2500X7520-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1144489261

Nicole L. Jackson, CSAC, ICS, LPC-IT's National Provider Identifier is 1144489261, issued on Jun 4, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Milwaukee, WI. The record was last updated on Aug 29, 2025.