Individual
MS. VICKIE LEE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7809 W BECKETT AVE, MILWAUKEE, WI 53218-5320
(414) 535-9892
(414) 535-9892
Mailing address
7809 W BECKETT AVE, MILWAUKEE, WI 53218-5320
(414) 535-9892
(414) 535-9892
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
564-226
WI
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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