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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LEEANN GAUSE JACKSON, ATR

Active

Professional Counselor · ELKHORN, WI

Registration Details

NPI Number
1790270049
Provider Type
Individual
Gender
Female
NPI Issued
Jun 28, 2018 (7.8165105912817 yrs)
Last Updated
Mar 13, 2023
Licenses
16281-131 (WI)
178009221 (IL)
121-36 (WI)
7126-125 (WI)

Practice Information

Address
1910 COUNTY ROAD NN
ELKHORN, WI, 531214454
Browse WI providers · Browse ZIP 53121
Phone
2627413200
Fax
2627413217
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor
Additional Specialty
Art Therapist
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in ELKHORN, WI

Name Credential NPI
TIMOTHY SWANSON MS, LCPC, LPC 1124039367
MRS. SONIA L HILL MS 1154333698
MR. SEAN PATRICK FAULS MS, LPC 1750490264
BRIAN WEXLER MSW, LPC, CADC-D 1851402820
CARRIE L KELLY LPC, SACIT 1821263724
MS. KELLY T ENGER MS, LPC, NCC 1568785558
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.