Individual
JACKIE M MORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC, APSW, MSW
Contact information
Practice address
1011 N 8TH ST, SHEBOYGAN, WI 53081-4006
(920) 459-6400
(920) 459-4353
Mailing address
1011 N 8TH ST, SHEBOYGAN, WI 53081-4006
(920) 459-6400
(920) 459-4353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11671-132
WI
101YM0800X
Mental Health Counselor
Primary
—
WI
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/19/2007
Last updated
09/11/2025
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