Individual
MELISSA M JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2661 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-5407
(715) 726-3504
Mailing address
611 N FRANKLIN ST, STANLEY, WI 54768-1148
(715) 429-0245
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15393-131
WI
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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