Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHAWN A JACKSON, SAC-IT
ActiveMR. SHAWN A JACKSON, SAC-IT is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MEQUON, Wisconsin. NPI 1487922837 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · MEQUON, WI
Registration Details
- NPI Number
- 1487922837
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2011 (14.672687531002 yrs)
- Last Updated
- Jan 11, 2013
- License
-
16299-130 (WI)
Practice Information
- Address
-
10532 N. PORT WASHINGTON RD.MEQUON, WI, 53092Browse WI providers · Browse ZIP 53092
- Phone
- 2622423810
- Fax
- 2622423816
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in MEQUON, WI
| Name | Credential | NPI |
|---|---|---|
| MS. STACEY LYNN YONKOSKI | MSW, LCSW, CADCIII | 1053464289 |
| DAWN M RITTER | MS, LPC | 1841494044 |
| BONNIE L. WHITE | MA, SAC-IT | 1437433992 |
| MR. STEVE CORY FRAZIER | SAC-IT | 1588093231 |
| MICHAEL E KEMP | CSAC, NCAC I | 1386391175 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.