Jackson, Leeann G

Jackson, Leeann G is an individual health care provider with primary practice located at 6525 Green Bay Rd Ste 2 , Kenosha WI 53142-2967. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jackson, Leeann G can be contacted via phone (262) 999-3495.

Contact Information

Primary practice address
6525 Green Bay Rd Ste 2 Kenosha WI 53142-2967
Phone: (262) 999-3495
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 7126-125 Wisconsin
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16281-131 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X 121-36 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 178009221 Illinois

Profile Details

NPI number 1790270049
LBN Legal business name Jackson, Leeann G
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2018
Last updated Jun 3rd, 2026 - about 4 months 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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