Mary Ellen Jacks, M.S.

NPI #1548278203 in Hudson, Wisconsin

Provider Information

NPI Number
1548278203
Entity Type
Individual
Name
Mary Ellen Jacks, M.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Credential
M.S.
Enumeration Date
Aug 4, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
401 STAGELINE RD
Address 2
SUITE 7
City
Hudson
ZIP Code
54016-7897
Phone
(715) 531-6760

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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