Andrea K Jackett

NPI #1932422953 in West Allis, Wisconsin

Provider Information

NPI Number: 1932422953
Entity Type: Individual
Name: Andrea K Jackett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Mar 4, 2010
Last Updated: Nov 18, 2024

Practice Location

Address: 2424 S 90TH ST
City: West Allis
State: Wisconsin
ZIP Code: 53227-2455
Phone: (414) 328-8700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Professional — Professional	101YP2500X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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