person
Mr. Shawn A Jackson, SAC-IT
Addiction (Substance Use Disorder) Counselor in Mequon, Wisconsin
NPI 1487922837

Shawn A Jackson is an Addiction (Substance Use Disorder) Counselor based in Mequon, WI and is specialized in Addiction (Substance Use Disorder). Shawn A Jackson practices in Mequon, WI and has the professional credentials of SAC-IT. The NPI Number for Shawn A Jackson is 1487922837 and holds a License No. 16299-130 (Wisconsin).

The current practice location address for Shawn A Jackson is 10532 N. Port Washington Rd., Mequon, WI and can be reached out via phone at 262-242-3810 and via fax at 262-242-3816.

Location: 10532 N. Port Washington Rd., Mequon, WI, 53092-5563
person
Provider Profile Details
NPI Number
1487922837
Provider Name
Shawn A Jackson
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Male
Address
10532 N. Port Washington Rd., Mequon, WI, 53092-5563
Phone Number
262-242-3810
Fax Number
262-242-3816
Provider Enumeration Date
12/13/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10532 N. Port Washington Rd.
City
State
Zip
53092
Phone Number
262-242-3810
Fax Number
262-242-3816
person
Provider Business Mailing Address Details
Address
10532 N. Port Washington Rd.
City
State
Zip
53092
Phone Number
262-242-3810
Fax Number
262-242-3816
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
16299-130 (Wisconsin)
Definition
Definition to come...
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