person
Danita A Jackson, LPC-IT
Mental Health Counselor in Wauwatosa, Wisconsin
NPI 1356774723

Danita A Jackson is a Mental Health Counselor based in Wauwatosa, WI and is specialized in Mental Health. Danita A Jackson practices in Wauwatosa, WI and has the professional credentials of LPC-IT. The NPI Number for Danita A Jackson is 1356774723 and holds a License No. 1854-226 (Wisconsin).

The current practice location address for Danita A Jackson is 10045 W Lisbon Ave, Wauwatosa, WI and can be reached out via phone at 414-358-7999 and via fax at 414-358-7158.

Location: 10045 W Lisbon Ave, Wauwatosa, WI, 53222-2446
person
Provider Profile Details
NPI Number
1356774723
Provider Name
Danita A Jackson
Credential
LPC-IT
Provider Entity Type
Individual
Gender
Female
Address
10045 W Lisbon Ave, Wauwatosa, WI, 53222-2446
Phone Number
414-358-7999
Fax Number
414-358-7158
Provider Enumeration Date
08/20/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10045 W Lisbon Ave
City
State
Zip
53222-2446
Phone Number
414-358-7999
Fax Number
414-358-7158
person
Provider Business Mailing Address Details
Address
10045 W Lisbon Ave
City
State
Zip
53222-2446
Phone Number
414-358-7999
Fax Number
414-358-7158
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1854-226 (Wisconsin)
Definition
Definition to come...
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