Individual
TIFFANY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8629 W DOUGLAS AVE, MILWAUKEE, WI 53225-1919
(414) 377-3875
Mailing address
8629 W DOUGLAS AVE, MILWAUKEE, WI 53225-1919
(414) 377-3875
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
01/23/2026
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