MR. Shawn A Jackson, SAC-IT

NPI #1487922837 in Mequon, Wisconsin

Provider Information

NPI Number
1487922837
Entity Type
Individual
Name
MR. Shawn A Jackson, SAC-IT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
SAC-IT
Enumeration Date
Dec 13, 2011
Last Updated
Jan 11, 2013

Practice Location

Address
10532 N. PORT WASHINGTON RD.
City
Mequon
ZIP Code
53092
Phone
(262) 242-3810

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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