MELISSA M JACKSON

CHIPPEWA FALLS, WI
NPI1306093471
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15393-131)
Enumeration Date2008-08-20
Last Update Date2008-08-20
Business Address
-- MELISSA M JACKSON
2661 COUNTY HIGHWAY I
CHIPPEWA FALLS, WI 54729-5407
Phone number: 715-726-3504
Mailing Address
-- MELISSA M JACKSON
611 N FRANKLIN ST
STANLEY, WI 54768-1148
Phone number: 715-429-0245
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