Jacks, Mary Ellen

Jacks, Mary Ellen is an sole proprietor health care provider with primary practice located at 401 Stageline Rd Suite 7, Hudson WI 54016-7897. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Jacks, Mary Ellen can be contacted via phone (715) 531-6760.

Contact Information

Primary practice address
401 Stageline Rd Suite 7 Hudson WI 54016-7897
Phone: (715) 531-6760
Fax: (715) 531-6761
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 617-124 Wisconsin

Profile Details

NPI number 1548278203
LBN Legal business name Jacks, Mary Ellen
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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