Nicole L. Jackson, CSAC, ICS, LPC-IT - Milwaukee, WI

Nicole L. Jackson, CSAC,ICS,LPC-IT

Addiction (Substance Use Disorder) Counselor in Milwaukee, Wisconsin

NPI 1144489261

Nicole L. Jackson is an Addiction (Substance Use Disorder) Counselor based in Milwaukee, WI and is specialized in Addiction (Substance Use Disorder). Nicole L. Jackson practices in Milwaukee, WI and has the professional credentials of CSAC,ICS,LPC-IT. The NPI Number for Nicole L. Jackson is 1144489261 and holds a License No. 15477-135 (Wisconsin).

The current practice location address for Nicole L. Jackson is 6815 W Capitol Dr Ste 304, Milwaukee, WI and can be reached out via phone at 414-604-6488.

Location: 6815 W Capitol Dr Ste 304, Milwaukee, WI, 53216-2056

NPI Number

1144489261

Provider Name

Nicole L. Jackson

Credential

CSAC,ICS,LPC-IT

Provider Entity Type

Individual

Gender

Female

Address

6815 W Capitol Dr Ste 304, Milwaukee, WI, 53216-2056

Phone Number

414-604-6488

Fax Number

Provider Enumeration Date

06/04/2008

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
39175900	05	WI

Address

6815 W Capitol Dr Ste 304

City

Milwaukee

State

Wisconsin

Zip

53216-2056

Phone Number

414-604-6488

Fax Number

Address

6815 W Capitol Dr Ste 304

City

Milwaukee

State

Wisconsin

Zip

53216-2056

Phone Number

414-604-6488

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

15137-132 (Wisconsin)

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Addiction (Substance Use Disorder)

Taxonomy

101YA0400X

License No.

638-226 (Wisconsin)

Definition

Definition to come...

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Mental Health

Taxonomy

101YM0800X

License No.

15477-135 ()

Definition

Definition to come...

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