Jan Jackson

NPI #1871535047 in Sun Prairie, Wisconsin

Provider Information

NPI Number: 1871535047
Entity Type: Individual
Name: Jan Jackson
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Jun 12, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 1460 W MAIN ST
Address 2: SUITE 6
City: Sun Prairie
State: Wisconsin
ZIP Code: 53590-1846
Phone: (608) 837-4814

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

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