Individual provider · Type 1 NPI
Vickie Lee Jackson
Mental Health Counselor · Milwaukee, WI
NPI number
1407161599
Active
Practice location
7809 W Beckett Ave
Milwaukee, WI 53218-5320
Fax (414) 535-9892
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 564-226 (WI) |
Mental Health Counselor: Definition to come...
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About NPI 1407161599
Vickie Lee Jackson's National Provider Identifier is 1407161599, issued on Aug 12, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Milwaukee, WI. The record was last updated on Aug 12, 2010.