Individual
DIXIE L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
800 E BLACKHAWK AVE, PRAIRIE DU CHIEN, WI 53821-1698
(608) 326-0808
(608) 326-0810
Mailing address
800 E BLACKHAWK AVE, PRAIRIE DU CHIEN, WI 53821-1698
(608) 326-0808
(608) 326-0810
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3842
WI
101YP2500X
Professional Counselor
Primary
3842
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43713500
—
WI
Enumeration date
03/31/2008
Last updated
03/31/2008
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