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Andrea K Jackett
Mental Health Counselor in West Allis, Wisconsin
NPI 1932422953

Andrea K Jackett is a Mental Health Counselor based in Chicago, WI and is specialized in Mental Health. Andrea K Jackett practices in West Allis, WI. The NPI Number for Andrea K Jackett is 1932422953 and holds a License No. (Wisconsin).

The current practice location address for Andrea K Jackett is 2424 S 90Th St, West Allis, WI and can be reached out via phone at 414-328-8700.

Location: 2424 S 90Th St, West Allis, WI, 60673-5044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932422953
Provider Name
Andrea K Jackett
Credential
Provider Entity Type
Individual
Gender
Female
Address
2424 S 90Th St, West Allis, WI, 60673-5044
Phone Number
414-328-8700
Fax Number
Provider Enumeration Date
03/04/2010
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100186980 05 WI
institution
Provider Business Practice Location Address Details
Address
2424 S 90Th St
City
West Allis
State
Wisconsin
Zip
53227-2455
Phone Number
414-328-8700
Fax Number
person
Provider Business Mailing Address Details
Address
2424 S 90Th St
City
West Allis
State
Wisconsin
Zip
53227-2455
Phone Number
414-328-8700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
4796 (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
Mental Health
Taxonomy
101YM0800X
License No.
4796 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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