JENNA MARIE JACKSON

WAUKESHA, WI
NPI1003628603
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  20708-130)
Enumeration Date2025-01-22
Last Update Date2025-01-22
Business Address
JENNA MARIE JACKSON SAC-IT
1501 AIRPORT RD
WAUKESHA, WI 53188-2461
Phone number: 262-548-7666
Mailing Address
JENNA MARIE JACKSON SAC-IT
N961 FOX RUN LN APT 5
OCONOMOWOC, WI 53066-9587
Phone number: 262-370-1041
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