Individual provider · Type 1 NPI

Tanja Decarlo-Jackson

Addiction (Substance Use Disorder) Counselor · Madison Heights, MI

NPI number 1073722161 Active

Practice location

1400 E 12 Mile Rd
Madison Heights, MI 48071-2651

Call (248) 547-2223 Map

Mailing address

19134 Montrose St
Detroit, MI 48235-2309

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1073722161

Tanja Decarlo-Jackson's National Provider Identifier is 1073722161, issued on May 22, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Madison Heights, MI. The record was last updated on Jul 8, 2007.