MR. SHAWN JACKSON, SAC-IT
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1487922837
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 16299-130 (WI) |
Frequently Asked Questions
NPI 1487922837 is the National Provider Identifier for MR. SHAWN JACKSON, SAC-IT, a Counselor - Addiction (Substance Use Disorder) provider located in Mequon, WI. This NPI was enumerated on December 13, 2011.
MR. SHAWN JACKSON, SAC-IT practices at 10532 N. PORT WASHINGTON RD., Mequon, WI 53092.
Quick Facts
- NPI
- 1487922837
- Type
- Individual
- Enumerated
- Dec 13, 2011
- Last Updated
- Jan 11, 2013
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