Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALBERT JACKSON, AODA
Active Sole ProprietorALBERT JACKSON, AODA is a Community/Behavioral Health healthcare provider located in MILWAUKEE, Wisconsin. NPI 1720421795 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · MILWAUKEE, WI
Registration Details
- NPI Number
- 1720421795
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2013 (13.31707737153 yrs)
- Last Updated
- Apr 9, 2013
- Licenses
-
16862-130 (WI)16862-130 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4001 W CAPITOL DRMILWAUKEE, WI, 532162530Browse WI providers · Browse ZIP 53216
- Phone
- 4148106691
- Primary Specialty
-
Community/Behavioral Health
251S00000X
- Additional Specialty
- Mental Health Clinic
Other Community/Behavioral Health Providers in MILWAUKEE, WI
| Name | Credential | NPI |
|---|---|---|
| ANNE JONES | M.S. | 1023213907 |
| JEROME PITCHFORD | — | 1205391828 |
| MRS. LATARA WILLIAMS | — | 1548816580 |
| ZORAN JOVICIC | — | 1558968990 |
| MRS. MONIQUE JOBE | — | 1972249241 |
| STEVEN L ANDERS | — | 1336901339 |
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.