Organization
NOBLE JOURNEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NYLES ANTONY JACKSON DSW, LCSW (PSYCHOTHERAPIST)
(262) 960-1981
Entity
Organization
Contact information
Practice address
6300 76TH ST STE 200, KENOSHA, WI 53142-4018
(262) 960-1981
Mailing address
2800 E ENTERPRISE AVE STE 333, APPLETON, WI 54913-7889
(262) 960-1981
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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