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Individual

JAKKI CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SAC

Contact information

Practice address
3074 N TEUTONIA AVE, MILWAUKEE, WI 53206-2240
(414) 574-1670
Mailing address
PO BOX 6562, MILWAUKEE, WI 53206-0562
(414) 574-1670

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19822-130
WI

Other

Enumeration date
04/30/2025
Last updated
07/16/2025
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