Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jenna Marie Jackson, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1003628603

Jenna Marie Jackson, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Waukesha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2025.

Licensed in
WI
In the registry since
2025

Practice location Address checks out

1501 Airport Rd
Waukesha, WI 53188-2461
Phone: (262) 548-7666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 20708-130 (WI)

Record details

NPI number1003628603
Entity typeIndividual (Type 1)
GenderFemale
Credentials SAC-IT
Sole proprietorNo
NPI enumeratedJanuary 22, 2025
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025

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