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

Kristle Jackson

Individual provider Professional Counselor · NPI 1780500892

Kristle Jackson is a Professional Counselor in Green Lake, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2026.

Licensed in
WI
In the registry since
2026

Practice location Address checks out

571 County Road A
Green Lake, WI 54941-8630
Phone: (920) 294-4070
Fax: (920) 294-4139
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 12345-125 (WI)

Record details

NPI number1780500892
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 24, 2026
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address227 N Westhaven Dr Apt X206, Oshkosh, WI 54904-7689

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