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

Mr. Shawn A Jackson, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1487922837

Mr. Shawn A Jackson, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Mequon, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.

Licensed in
WI
In the registry since
2011

Practice location Address checks out

10532 N Port Washington Rd
Mequon, WI 53092
Phone: (262) 242-3810
Fax: (262) 242-3816
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 16299-130 (WI)

Record details

NPI number1487922837
Entity typeIndividual (Type 1)
GenderMale
Credentials SAC-IT
Sole proprietorNo
NPI enumeratedDecember 13, 2011
Last updated in NPPESJanuary 11, 2013

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