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BEATRICE JACKSON SUD COUNSELOR SAC
NPI 1356825954
Counselor - Addiction (Substance Use Disorder) in Milwaukee, WI

Active since September 19, 2018
4800 S 10TH ST, MILWAUKEE, WI 53221(414) 744-5370(414) 744-9052 Get Directions Write a Review

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Beatrice Jackson Sud Counselor Sac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEATRICE JACKSON SUD COUNSELOR SAC (NPI 1356825954) is an individual addiction (substance use disorder) provider in Milwaukee, Wisconsin, licensed in Wisconsin (15667-131) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1356825954
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBEATRICE JACKSONCredential: SUD COUNSELOR SAC
Location Address4800 S 10TH STMilwaukee, WI 53221-2412
Mailing Address4800 S 10th StMilwaukee, WI 53221-2412 · (414) 744-5370 · Fax (414) 744-4352
Phone(414) 744-5370
Fax(414) 744-9052
Sole ProprietorNo
Enumeration DateSeptember 19, 2018
✔ NPI 1356825954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 15667-131
4800 S 10TH ST, Milwaukee, WI 53221
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CATHERINE D'ALESSIO CADC-III
Counselor (Addiction (Substance Use Disorder))
4800 S 10TH ST
MILWAUKEE, WI 53221
Milwaukee County (414) 744-5370
MR. PATRICIO LOPEZ-PRADO RADC-I
Counselor (Addiction (Substance Use Disorder))
4800 S 10TH ST
MILWAUKEE, WI 53221
Milwaukee County (414) 744-5370
MRS. CYNTHIA M GJERDE RN
Registered Nurse (Addiction (Substance Use Disorder))
4800 S 10TH ST
MILWAUKEE, WI 53221
Milwaukee County (414) 744-5370
MRS. JAMIE ELAINE KELLER CADCIII
Counselor (Addiction (Substance Use Disorder))
4800 S 10TH ST
MILWAUKEE, WI 53221
Milwaukee County (414) 744-5370
MS. JENNIFER M MILLER LPN
Licensed Practical Nurse
4800 S 10TH ST
MILWAUKEE, WI 53221
Milwaukee County (414) 744-5370
MR. GILBERT MEDINA SACIT
Counselor (Addiction (Substance Use Disorder))
4800 S 10TH ST
MILWAUKEE, WI 53221
Milwaukee County (414) 744-5370
MR. TERRENCE ROBERT TYREE SAC
Counselor (Addiction (Substance Use Disorder))
4800 S 10TH ST
MILWAUKEE, WI 53221
Milwaukee County (414) 744-5370
MR. FAUSTINO VAZQUEZ JR. SAC
Counselor (Addiction (Substance Use Disorder))
4800 S 10TH ST
MILWAUKEE, WI 53221
Milwaukee County (414) 744-5370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beatrice Jackson's NPI number?

The NPI number for Beatrice Jackson is 1356825954. It was assigned to this individual provider in the NPPES registry on September 19, 2018.

Where is Beatrice Jackson located?

Beatrice Jackson practices at 4800 S 10th St, Milwaukee, WI 53221. The listed phone number is (414) 744-5370.

What is Beatrice Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Beatrice Jackson was last updated on September 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.