Dixie L Jackson in Prairie Du Chien - Counselor
Dixie L Jackson - NPI 1396917266
Dixie L Jackson is a Counselor in Prairie Du Chien, Wisconsin. Dixie L Jackson practices all healthcare services and medical treatments related to Counselor. The NPI Number for Dixie L Jackson is 1396917266. The last update date is 2008-03-31.
Dixie L Jackson's current location address is 800 E Blackhawk Ave, Prairie Du Chien, Wisconsin. You can contact this provider via phone number 6083260808 and fax number 6083260810. The mailing address for Dixie L Jackson is 800 E Blackhawk Ave, Prairie Du Chien, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dixie L Jackson |
|---|---|
| Address | 800 E Blackhawk Ave, Prairie Du Chien, Wisconsin |
| Phone Number | 6083260808 |
| Fax Number | 6083260810 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1396917266 |
|---|---|
| Provider Enumeration Date | 2008-03-31 |
| Last Updated Date | 2008-03-31 |
Provider Mailing Address Detail
| Address | 800 E Blackhawk Ave |
|---|---|
| City | Prairie Du Chien |
| State | Wisconsin (WI) |
| Post Code | 538211698 |
| Phone Number | 6083260808 |
| Fax Number | 6083260810 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 3842 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43713500 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dixie L Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Dixie L Jackson has been assigned the NPI (National Provider Identifier) 1396917266. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Dixie L Jackson is located?
The Dixie L Jackson is situated at the following address: 800 E Blackhawk Ave, Prairie Du Chien, WI, 538211698.
What is Dixie L Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dixie L Jackson's area of specialization is Counselor, and the corresponding taxonomy code that categorizes this field of practice is 101Y00000X.
On what date did the Dixie L Jackson receive the assignment of its 1396917266 from the Centers for Medicare & Medicaid Services?
The Dixie L Jackson was issued its 1396917266 by the Centers for Medicare & Medicaid Services on 2008-03-31.
When was the Dixie L Jackson's information last updated?
The Dixie L Jackson's information was last updated on 2008-03-31.