Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY ELLEN JACKS, M.S.
Active Sole ProprietorMARY ELLEN JACKS, M.S. is a Marriage & Family Therapist healthcare provider located in HUDSON, Wisconsin. NPI 1548278203 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · HUDSON, WI
Registration Details
- NPI Number
- 1548278203
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 4, 2006 (19.844642879579 yrs)
- Last Updated
- Jul 8, 2007
- License
-
617-124 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
401 STAGELINE RDSUITE 7HUDSON, WI, 540167897Browse WI providers · Browse ZIP 54016
- Phone
- 7155316760
- Fax
- 7155316761
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in HUDSON, WI
| Name | Credential | NPI |
|---|---|---|
| MS. CYNTHIA A GRAJKOWSKI | MS ED LMFT | 1861508343 |
| JAMES HAROLD BROECKER | MS, LMFT | 1548349848 |
| MR. LEE ANDREW FOLSTAD | L.M.F.T. | 1699845487 |
| ANGELA B SILER | M.A. LMFT | 1982771317 |
| DR. JILL CARLSON ZIMMERMAN | PH.D., LMFT, LPC | 1912033770 |
| ALLISON B. HEETER-CONDON | MA, LMFT | 1114161536 |
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.