Individual provider · Type 1 NPI

Melissa M. Jackson

Addiction (Substance Use Disorder) Counselor · Chippewa Falls, WI

NPI number 1306093471 Active

Practice location

2661 County Highway I
Chippewa Falls, WI 54729-5407

Mailing address

611 N Franklin St
Stanley, WI 54768-1148

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15393-131 (WI)

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

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About NPI 1306093471

Melissa M. Jackson's National Provider Identifier is 1306093471, issued on Aug 20, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chippewa Falls, WI. The record was last updated on Aug 20, 2008.