Individual provider · Type 1 NPI

Danita A. Jackson, LPC-IT

Mental Health Counselor · Wauwatosa, WI

NPI number 1356774723 Active

Practice location

10045 W Lisbon Ave
Wauwatosa, WI 53222-2446

Call (414) 358-7999 Map

Fax (414) 358-7158

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1854-226 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1356774723

Danita A. Jackson, LPC-IT's National Provider Identifier is 1356774723, issued on Aug 20, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wauwatosa, WI. The record was last updated on Mar 22, 2014.