Antoinette Rae Jackson
Antoinette Rae Jackson is a Mental Illness Community Based Residential Treatment Facility in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2025
Practice location Address checks out
3925 N 6th StMilwaukee, WI 53212-1139
Phone: (414) 234-7720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X (WI) |
|---|
Record details
| NPI number | 1144196387 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 15, 2025 |
| Last updated in NPPES | October 15, 2025 |
| Certification date | October 14, 2025 |
| Mailing address | Po Box 43, Mequon, WI 53092-0043 |
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