Individual
MRS. SARAH MARIE JAECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, SAC
Contact information
Practice address
2224 NORTHWESTERN AVE STE 112, RACINE, WI 53404-0007
(262) 822-9939
Mailing address
2224 NORTHWESTERN AVE STE 112, RACINE, WI 53404-0007
(262) 822-9939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17770
WI
104100000X
Social Worker
130579
WI
1041C0700X
Clinical Social Worker
Primary
9306
WI
Other
Enumeration date
11/14/2017
Last updated
04/13/2026
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