Lookup NPI Numbers from the NPI Registry
NPI Profile for LEEANN G JACKSON in ELKHORN, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Art Therapist |
221700000X |
| NPI Number | 1790270049 |
|
| Status | Active | |
| Credentials | ATR | |
| Entity | Individual | |
| Enumeration date | 06/28/2018 | |
| Last updated | 03/13/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LEEANN G JACKSON
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LEEANN G JACKSON, ATR