Individual provider · Type 1 NPI
Shawn A. Jackson, SAC-IT
Addiction (Substance Use Disorder) Counselor · Mequon, WI
NPI number
1487922837
Active
Practice location
10532 N. Port Washington Rd.
Mequon, WI 53092
Fax (262) 242-3816
Mailing address
10532 N Port Washington Rd
Mequon, WI 53092-5563
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 16299-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
Other addiction (substance use disorder) counselor providers in Mequon
- Stacey Lynn Yonkoski, MSW, LCSW, CADCIIIAddiction (Substance Use Disorder) Counselor Mequon, WI NPI 1053464289
- Michael E. Kemp, CSAC, NCAC IAddiction (Substance Use Disorder) Counselor Mequon, WI NPI 1386391175
- Bonnie L. White, MA, SAC-ITAddiction (Substance Use Disorder) Counselor Mequon, WI NPI 1437433992
- Steve Cory Frazier, SAC-ITAddiction (Substance Use Disorder) Counselor Mequon, WI NPI 1588093231
- Dawn M. Ritter, MS, LPCAddiction (Substance Use Disorder) Counselor Mequon, WI NPI 1841494044
About NPI 1487922837
Shawn A. Jackson, SAC-IT's National Provider Identifier is 1487922837, issued on Dec 13, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mequon, WI. The record was last updated on Jan 11, 2013.