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

Individual provider Marriage & Family Therapist · NPI 1548278203

Mary Ellen Jacks, MS is a Marriage & Family Therapist in Hudson, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

401 Stageline Rd Ste 7
Hudson, WI 54016-7897
Phone: (715) 531-6760
Fax: (715) 531-6761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 617-124 (WI)

Record details

NPI number1548278203
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorYes
NPI enumeratedAugust 4, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1196 Quinlan Ave S, Lakeland, MN 55043-9527

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