Charlesetta Jackson is a Milwaukee, Wisconsin based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Charlesetta Jackson is 15371-131 for Addiction (Substance Use Disorder) Counselor in Wisconsin. Her current practice location is 4757 N 76th St, Milwaukee. Patients can book an appointment with her at 414-358-4171.
Charlesetta Jackson is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. She helps her clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Charlesetta Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Charlesetta Jackson
Specialization:
Addiction (Substance Use Disorder) Counselor
Gender:
Female
Credentials:
SAC
Accepts Medicare Assignment:
No
Practice Address:
4757 N 76th St, Milwaukee, Wisconsin, 53218-4732
Phone:
414-358-4171
Fax:
414-358-5005
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1922273879
NPI Enumeration Date:
22 Apr, 2008
NPI Last Update On:
22 Apr, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charlesetta Jackson are as mentioned below.
License Number
Specialization
State
Status
15371-131
Addiction (Substance Use Disorder) Counselor
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Charlesetta Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
15371-131
Other
Wisconsin
DEPARTMENT OF REGULATION & LICENSING
39178900-31/048
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4757 N 76th St, Milwaukee, Wisconsin
Zip:
53218-4732
Phone Number:
414-358-4171
Fax Number:
414-358-5005
Patients can reach Charlesetta Jackson at 4757 N 76th St, Milwaukee, Wisconsin or can call to book an appointment on 414-358-4171. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.