All Medicaid billing entities listing JAECKLE, THERESE (CLINICAL DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Wisconsin | 1 | $741K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | NORTHSHORE CLINIC & CONSULTANTS, INC. | CEDARBURG, WI | Community/Behavioral Health Agency | $741K |