Mary Ellen Jacks in Hudson - Marriage & Family Therapist
Mary Ellen Jacks - NPI 1548278203
Mary Ellen Jacks is a Marriage & Family Therapist in Hudson, Wisconsin. Mary Ellen Jacks practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Mary Ellen Jacks is 1548278203. The last update date is 2007-07-08.
Mary Ellen Jacks's current location address is 401 Stageline Rd, Hudson, Wisconsin. You can contact this provider via phone number 7155316760 and fax number 7155316761. The mailing address for Mary Ellen Jacks is 401 Stageline Rd, Hudson, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ellen Jacks |
|---|---|
| Address | 401 Stageline Rd, Hudson, Wisconsin |
| Phone Number | 7155316760 |
| Fax Number | 7155316761 |
| Sole Proprietor | Y |
| Credentials | M.S. |
NPI Number Detail
| NPI Number | 1548278203 |
|---|---|
| Provider Enumeration Date | 2006-08-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 401 Stageline Rd |
|---|---|
| City | Hudson |
| State | Wisconsin (WI) |
| Post Code | 540167897 |
| Phone Number | 7155316760 |
| Fax Number | 7155316761 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 617-124 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique 10-digit identifier code issued to Mary Ellen Jacks by the Centers for Medicare & Medicaid Services?
The Mary Ellen Jacks has been assigned the NPI (National Provider Identifier) 1548278203 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Mary Ellen Jacks's physical address?
The Mary Ellen Jacks is physically located at 401 Stageline Rd, in the city of Hudson, WI, with the postal code 540167897.
What is Mary Ellen Jacks's area of expertise and its corresponding taxonomy classification?
The Mary Ellen Jacks's field of specialization is Marriage & Family Therapist, and it falls under the taxonomy code 106H00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Mary Ellen Jacks receive its 1548278203 assignment from the Centers for Medicare & Medicaid Services?
The Mary Ellen Jacks was assigned its 1548278203 on 2006-08-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mary Ellen Jacks most recently updated or refreshed?
The details pertaining to the Mary Ellen Jacks, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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