Individual provider · Type 1 NPI

Nastassia S. Jackson, LPC-IT

Mental Health Counselor · Milwaukee, WI

NPI number 1720524341 Active

Practice location

6830 W Villard Ave Ste 190
Milwaukee, WI 53218

Call (262) 320-7886 Map

Mailing address

PO Box 12922
Milwaukee, WI 53212-0922

Other practice locations

  • 3753 N 87th St, Milwaukee, WI 53222-2838 · (414) 265-6156

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X2601 (WI)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
School Counselor 101YS0200XNone listed
Mental Health Counselor Primary 101YM0800X7435 (WI)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1720524341

Nastassia S. Jackson, LPC-IT's National Provider Identifier is 1720524341, issued on Jan 7, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Milwaukee, WI. The record was last updated on Jun 18, 2019.