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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417606559

Veronda Jackson is an Addiction (Substance Use Disorder) Counselor in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2022.

Licensed in
WI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

3774 N 13th St
Milwaukee, WI 53206-3011
Phone: (414) 792-0775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 17739-130 (WI)

Record details

NPI number1417606559
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 23, 2022
Last updated in NPPESMarch 23, 2022
Certification dateMarch 22, 2022
Mailing address3774 N 13th St, Milwaukee, WI 53206-3011

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