Charlesetta Jackson, SAC
Charlesetta Jackson, SAC is an Addiction (Substance Use Disorder) Counselor in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.
- Licensed in
- WI
- In the registry since
- 2008
Practice location Address checks out
4757 N 76th StMilwaukee, WI 53218-4732
Phone: (414) 358-4171
Fax: (414) 358-5005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 15371-131 (WI) |
|---|
Record details
| NPI number | 1922273879 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SAC |
| Sole proprietor | No |
| NPI enumerated | April 22, 2008 |
| Last updated in NPPES | April 22, 2008 |
| Mailing address | 4757 N 76th St, Milwaukee, WI 53218-4732 |
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