Albert Jackson, AODA
Albert Jackson, AODA is a Community/Behavioral Health Agency in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
4001 W Capitol DrMilwaukee, WI 53216-2530
Phone: (414) 810-6691
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 16862-130 (WI) |
|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X · Licence 16862-130 (WI) |
Record details
| NPI number | 1720421795 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AODA |
| Sole proprietor | Yes |
| NPI enumerated | April 9, 2013 |
| Last updated in NPPES | April 9, 2013 |
| Mailing address | 4950 N 21st Street, Milwaukee, WI 53209-5750 |
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