Jenna Marie Jackson, SAC-IT - Counselor in Waukesha, WI

Jenna Marie Jackson, SAC-IT is a Counselor - Addiction (substance Use Disorder) based in Waukesha, Wisconsin. Jenna Marie Jackson is licensed to practice in Wisconsin (license number 20708-130) and her current practice location is 1501 Airport Rd, Waukesha, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 548-7666.

NPI number for Jenna Marie Jackson is 1003628603 and her current mailing address is N961 Fox Run Ln Apt 5, Oconomowoc, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003628603.

Contact Information

Jenna Marie Jackson, SAC-IT
1501 Airport Rd,
Waukesha, WI 53188-2461
(262) 548-7666
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJenna Marie Jackson
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1501 Airport Rd, Waukesha, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003628603
  • Provider Enumeration Date: 01/22/2025
  • Last Update Date: 01/22/2025

Medical Identifiers

Medical identifiers for Jenna Marie Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003628603NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 20708-130 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jenna Marie Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jenna Marie Jackson, SAC-IT
N961 Fox Run Ln Apt 5,
Oconomowoc, WI 53066-9587

Ph: (262) 370-1041
Jenna Marie Jackson, SAC-IT
1501 Airport Rd,
Waukesha, WI 53188-2461

Ph: (262) 548-7666

Reviews and Comments


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