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Melissa M Jackson
Addiction (Substance Use Disorder) Counselor in Chippewa Falls, Wisconsin
NPI 1306093471

Melissa M Jackson is an Addiction (Substance Use Disorder) Counselor based in Stanley, WI and is specialized in Addiction (Substance Use Disorder). Melissa M Jackson practices in Chippewa Falls, WI. The NPI Number for Melissa M Jackson is 1306093471 and holds a License No. 15393-131 (Wisconsin).

The current practice location address for Melissa M Jackson is 2661 County Highway I, Chippewa Falls, WI and can be reached out via phone at 715-726-3504.

Location: 2661 County Highway I, Chippewa Falls, WI, 54768-1148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306093471
Provider Name
Melissa M Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2661 County Highway I, Chippewa Falls, WI, 54768-1148
Phone Number
715-726-3504
Fax Number
Provider Enumeration Date
08/20/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2661 County Highway I
City
Chippewa Falls
State
Wisconsin
Zip
54729-5407
Phone Number
715-726-3504
Fax Number
person
Provider Business Mailing Address Details
Address
2661 County Highway I
City
Chippewa Falls
State
Wisconsin
Zip
54729-5407
Phone Number
715-726-3504
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
15393-131 (Wisconsin)
Definition
Definition to come...
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