Individual
LEEANN GAUSE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATR
Contact information
Practice address
1910 COUNTY ROAD NN, ELKHORN, WI 53121-4454
(262) 741-3200
(262) 741-3217
Mailing address
PO BOX 1005, ELKHORN, WI 53121-1005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16281-131
WI
101YP2500X
Professional Counselor
178009221
IL
101YP2500X
Professional Counselor
Primary
7126-125
WI
221700000X
Art Therapist
121-36
WI
Other
Enumeration date
06/28/2018
Last updated
03/13/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us