person
Ms. Nastassia S Jackson, LPC-IT
Mental Health Counselor in Milwaukee, Wisconsin
NPI 1720524341

Nastassia S Jackson is a Mental Health Counselor based in Milwaukee, WI and is specialized in Mental Health. Nastassia S Jackson practices in Milwaukee, WI and has the professional credentials of LPC-IT. The NPI Number for Nastassia S Jackson is 1720524341 and holds a License No. 2601 (Wisconsin).

The current practice location address for Nastassia S Jackson is 6830 W Villard Ave Ste 190, Milwaukee, WI and can be reached out via phone at 262-320-7886. You can also correspond with Nastassia S Jackson through the mailing address at PO BOX 12922, MILWAUKEE, WI - 53212-0922 (mailing address contact number: 414-265-6156).

Location: 6830 W Villard Ave Ste 190, Milwaukee, WI, 53212-0922
person
Provider Profile Details
NPI Number
1720524341
Provider Name
Nastassia S Jackson
Credential
LPC-IT
Provider Entity Type
Individual
Gender
Female
Address
6830 W Villard Ave Ste 190, Milwaukee, WI, 53212-0922
Phone Number
262-320-7886
Fax Number
Provider Enumeration Date
01/07/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100071680 05 WI
institution
Provider Business Practice Location Address Details
Address
6830 W Villard Ave Ste 190
City
State
Zip
53218
Phone Number
262-320-7886
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 12922
City
State
Zip
53212-0922
Phone Number
414-265-6156
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
License No.
2601 (Wisconsin)
Definition
Definition to come...
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