Jackson, Leeann Gause
Jackson, Leeann Gause is an individual health care provider with primary practice located at 1910 County Road Nn , Elkhorn WI 53121-4454. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jackson, Leeann Gause can be contacted via phone (262) 741-3200.Contact Information
Primary practice address
1910 County Road Nn
Elkhorn WI 53121-4454
Phone: (262) 741-3200
Fax: (262) 741-3217
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 16281-131 | Wisconsin |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 178009221 | Illinois |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist | 221700000X | 121-36 | Wisconsin |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 7126-125 | Wisconsin |
Profile Details
NPI number | 1790270049 |
---|---|
LBN Legal business name | Jackson, Leeann Gause |
Credentials | ATR |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 28th, 2018 |
Last updated | Mar 13th, 2023 - about last year |
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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