Individual provider · Type 1 NPI
Tiffany Jackson
Professional Counselor · Milwaukee, WI
NPI number
1235896937
Active
Practice location
8629 W Douglas Ave
Milwaukee, WI 53225-1919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1235896937
Tiffany Jackson's National Provider Identifier is 1235896937, issued on Nov 17, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Milwaukee, WI. The record was last updated on Jan 23, 2026.