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Ms. Danielle Marie Jackson, LPC
Counselor in Kenosha, Wisconsin
NPI 1578000824

Danielle Marie Jackson is a Counselor based in Kenosha, WI. Danielle Marie Jackson practices in Kenosha, WI and has the professional credentials of LPC. The NPI Number for Danielle Marie Jackson is 1578000824 and holds a License No. 7473-125 (Wisconsin).

The current practice location address for Danielle Marie Jackson is 8503 75Th St, Kenosha, WI and can be reached out via phone at 262-654-9370.

Location: 8503 75Th St, Kenosha, WI, 53144-1439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578000824
Provider Name
Danielle Marie Jackson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
8503 75Th St, Kenosha, WI, 53144-1439
Phone Number
262-654-9370
Fax Number
Provider Enumeration Date
01/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8503 75Th St
City
Kenosha
State
Wisconsin
Zip
53142-7620
Phone Number
262-654-9370
Fax Number
person
Provider Business Mailing Address Details
Address
8503 75Th St
City
Kenosha
State
Wisconsin
Zip
53142-7620
Phone Number
262-654-9370
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
3402226 (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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
7473-125 (Wisconsin)
Definition
Definition to come...
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